institution
A Lynn Luther Mdpc
General Practice Physician in Boaz, Alabama
NPI 1073841037

A Lynn Luther Mdpc is a General Practice Physician based in Boaz, AL. A Lynn Luther Mdpc practices in Boaz, AL. The NPI Number for A Lynn Luther Mdpc is 1073841037 and holds a License No. 5173 (Alabama).

The current practice location address for A Lynn Luther Mdpc is 201 N Main St, Boaz, AL and can be reached out via phone at 256-593-2840. You can also correspond with A Lynn Luther Mdpc through the mailing address at PO BOX 645, BOAZ, AL - 35957-0645 (mailing address contact number: 256-593-2840).

Location: 201 N Main St, Boaz, AL, 35957-0645
institution
Provider Profile Details
NPI Number
1073841037
Provider Name
A Lynn Luther Mdpc
Credential
Provider Entity Type
Organization
Address
201 N Main St, Boaz, AL, 35957-0645
Phone Number
256-593-2840
Fax Number
Provider Enumeration Date
12/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000003851 05 AL
institution
Provider Business Practice Location Address Details
Address
201 N Main St
City
State
Zip
35957-1601
Phone Number
256-593-2840
Fax Number
person
Provider Business Mailing Address Details
Address
201 N Main St
City
State
Zip
35957-1601
Phone Number
256-593-2840
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
5173 (Alabama)
Definition
Definition to come...
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