MEDICARE: DR. LUKE RICHARD CYPHER MD, PHD

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
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	52376	SC
2	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	70784	MN
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	244751	AK

General Provider Information

NPI Number	:	1871086926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUKE RICHARD CYPHER MD, PHD

Provider Business Mailing Address
First Line	:	169 ASHLEY AVE RM 202
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8905
Country	:	US
Telephone Number	:	842-792-2575
Fax Number	:

Provider Business Practice Location Address
First Line	:	169 ASHLEY AVE RM 202
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8905
Country	:	US
Telephone Number	:	842-792-2575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2018
Last Update Date	:	12/31/2025

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