Elisia Marie Luther, PA-C

NPI #1881931079 in Melbourne, Florida

Provider Information

NPI Number: 1881931079
Entity Type: Individual
Name: Elisia Marie Luther, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 9, 2013
Last Updated: Aug 30, 2016

Practice Location

Address: 402 N BABCOCK ST
Address 2: SUITE 102
City: Melbourne
State: Florida
ZIP Code: 32935-7335
Phone: (321) 241-6540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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