Healthcare Provider Details

I. General information

NPI: 1114418050
Provider Name (Legal Business Name): LUTING ECKENSWEILER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LUTING SUN

II. Dates (important events)

Enumeration Date: 05/26/2018
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DUKE HEALTH CARY PL
CARY NC
27519-6759
US

IV. Provider business mailing address

100 DUKE HEALTH CARY PL
CARY NC
27519-6759
US

V. Phone/Fax

Practice location:
  • Phone: 919-385-8120
  • Fax:
Mailing address:
  • Phone: 919-385-8120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number2022-00570
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: