Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 35126758 | OH |
N | 207R00000X | Internist | 57019622 | OH |
N | 111NI0900X | Internist | 57019622 | OH |
NPI | 1013292739 |
---|---|
Provider Name | Nicole Luther |
First Address | Cincinnati, OH 45236-2725 |
Second Address | Cincinnati, OH 45236-2725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2011 |
Last Update Date | 11/08/2015 |