Individual
MR. RAYMOND ALAN LUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-8344
(918) 579-1556
Mailing address
1621 S CARSON AVE, TULSA, OK 74119-4215
(918) 592-1989
(918) 592-1877
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0063392
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100782450B
—
OK
Enumeration date
07/13/2006
Last updated
10/18/2010
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