Provider Demographics
NPI:1407869183
Name:LUTHER, EUIL EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:EUIL
Middle Name:EUGENE
Last Name:LUTHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 837
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-0837
Mailing Address - Country:US
Mailing Address - Phone:318-728-4400
Mailing Address - Fax:318-728-4430
Practice Address - Street 1:111 CHRISTIAN DR
Practice Address - Street 2:
Practice Address - City:RAYVILLE
Practice Address - State:LA
Practice Address - Zip Code:71269-3658
Practice Address - Country:US
Practice Address - Phone:318-728-4400
Practice Address - Fax:318-728-4430
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.018957207P00000X
LA018957207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1396729Medicaid
LA5U450F600Medicare ID - Type Unspecified
LAF83545Medicare UPIN