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NPI Code Detail

MEDICARE: MATTHEW LUTHER

MEDICARE: MATTHEW LUTHER
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
1163W00000XRegistered Nurse809016NY

General Provider Information

NPI Number : 1932099645
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW LUTHER
Provider Business Mailing Address
First Line : 2389 WALWORTH RD
Second Line :
City : WALWORTH
State : NY
Zip : 14568-9509
Country : US
Telephone Number : 607-483-8731
Fax Number :
Provider Business Practice Location Address
First Line : 326 WENDE HALL
Second Line :
City : BUFFALO
State : NY
Zip : 14214-8013
Country : US
Telephone Number : 716-829-3740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2025
Last Update Date : 07/04/2025

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