Healthcare Provider Details

I. General information

NPI: 1578595096
Provider Name (Legal Business Name): THOMAS LANGWORTHY LUZIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S LLOYD ST STE W110
ABERDEEN SD
57401-4512
US

IV. Provider business mailing address

201 S LLOYD ST STE W110
ABERDEEN SD
57401-4512
US

V. Phone/Fax

Practice location:
  • Phone: 605-225-0025
  • Fax: 605-225-2259
Mailing address:
  • Phone: 605-225-0025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberSD1359
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: