Doctor Name: | MR. ABNER LYNN LUTHER |
NPI Number: | 1437135688 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 5173 |
Business Practice Address: | 201 N Main Street Suite C Boaz, AL - 35957 |
Business Phone Number: | 2565932840 |
Business Fax Number: | 2565932824 |
Mailing Address: | Po Box 645, BOAZ |
State: | AL |
Postal Code: | 359570645 |
Phone Number: | 2565932840 |
Fax Number: | 2565932824 |
NPI Enumeration Date: | 12/20/2005 |
NPI Last Update Date: | 06/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |