Basic Information
| Provider Information | |||||||||
| NPI: | 1861679276 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUERTER | ||||||||
| FirstName: | LUKE | ||||||||
| MiddleName: | MICHAEL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 330 ARKANSAS ST | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | LAWRENCE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660441335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7858402800 | ||||||||
| FaxNumber: | 7858402813 | ||||||||
| Practice Location | |||||||||
| Address1: | 330 ARKANSAS ST | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | LAWRENCE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660441335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7858402800 | ||||||||
| FaxNumber: | 7858402813 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/28/2008 | ||||||||
| LastUpdateDate: | 12/15/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RX0202X | 04-35086 | KS | N | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | 207RH0003X | 435086 | KS | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.