Provider Demographics
NPI:1699792507
Name:LINDNER, LUTHER EDWARD (MD)
Entity type:Individual
Prefix:
First Name:LUTHER
Middle Name:EDWARD
Last Name:LINDNER
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:TAMUS-HSC COLLEGE OF MEDICINE
Mailing Address - Street 2:DEPT OF PATHOLOGY AND LABORATORY MEDICINE
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77843-1114
Mailing Address - Country:US
Mailing Address - Phone:979-845-7260
Mailing Address - Fax:979-862-1299
Practice Address - Street 1:1901 VETERANS MEMORIAL DR
Practice Address - Street 2:CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM - LAB SERVICE
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-9976
Practice Address - Country:US
Practice Address - Phone:254-743-2921
Practice Address - Fax:254-743-0004
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3956207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82P147Medicare ID - Type Unspecified
E37345Medicare UPIN