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NPI Code Detail

MEDICARE: LUTHER CHIROPRACTIC CENTER, LLC.

MEDICARE: LUTHER CHIROPRACTIC CENTER, LLC.
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
1111N00000XChiropractor364AK
2111N00000XChiropractor419AK

General Provider Information

NPI Number : 1992022107
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUTHER CHIROPRACTIC CENTER, LLC.
Provider Business Mailing Address
First Line : 1130 W DIMOND BLVD STE D
Second Line :
City : ANCHORAGE
State : AK
Zip : 99515-1511
Country : US
Telephone Number : 907-868-1517
Fax Number : 907-868-9053
Provider Business Practice Location Address
First Line : 1130 W DIMOND BLVD STE D
Second Line :
City : ANCHORAGE
State : AK
Zip : 99515-1511
Country : US
Telephone Number : 907-868-1517
Fax Number : 907-868-9053
Authorized Official
Title or Position : OWNER
Name : DR. DOUGLAS BYRON LUTHER
Credential : D.C.
Telephone Number : 907-868-1517
Provider Enumeration Date : 04/27/2010
Last Update Date : 04/27/2010

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Directions to “LUTHER CHIROPRACTIC CENTER, LLC. ” Practice Location

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