| A Lynn Luther Mdpc | |
|
201 N Main St Suite C Boaz AL 35957-1601 | |
| (256) 593-2840 | |
| Not Available |
| Full Name | A Lynn Luther Mdpc |
|---|---|
| Speciality | General Practice |
| Location | 201 N Main St, Boaz, Alabama |
| Authorized Official Name and Position | Abner Lynn Luther (PRESIDENT) |
| Authorized Official Contact | 2565932840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Lynn Luther Mdpc Po Box 645 Boaz AL 35957-0645 Ph: (256) 593-2840 | A Lynn Luther Mdpc 201 N Main St Suite C Boaz AL 35957-1601 Ph: (256) 593-2840 |
| NPI Number | 1073841037 |
|---|---|
| Provider Enumeration Date | 12/02/2009 |
| Last Update Date | 06/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073841037 | NPI | - | NPPES |
| 000003851 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 5173 (Alabama) | Primary |
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