Healthcare Provider Details

I. General information

NPI: 1861679276
Provider Name (Legal Business Name): LUKE MICHAEL HUERTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 11/06/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 ARKANSAS ST STE 215
LAWRENCE KS
66044-1326
US

IV. Provider business mailing address

325 MAINE STREET MSO LIBRARY
LAWRENCE KS
66044-1335
US

V. Phone/Fax

Practice location:
  • Phone: 785-505-2800
  • Fax: 785-505-5207
Mailing address:
  • Phone: 785-505-2988
  • Fax: 785-505-5228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number04-35086
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number435086
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: