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NPI Code Detail

MEDICARE: MR. SORREL E LUHRS MA

MEDICARE: MR. SORREL E LUHRS MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPS007735LPA

General Provider Information

NPI Number : 1750339156
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SORREL E LUHRS MA
Provider Business Mailing Address
First Line : 816 CENTRAL RD
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-8976
Country : US
Telephone Number : 570-387-1832
Fax Number : 570-387-5103
Provider Business Practice Location Address
First Line : 816 CENTRAL RD
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-8976
Country : US
Telephone Number : 570-387-1832
Fax Number : 570-387-5103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 07/08/2007

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