Provider Demographics
NPI:1871387126
Name:LUTHER, DESHEA
Entity type:Individual
Prefix:
First Name:DESHEA
Middle Name:
Last Name:LUTHER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2319 SAVANNAH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-1907
Mailing Address - Country:US
Mailing Address - Phone:202-270-4628
Mailing Address - Fax:
Practice Address - Street 1:2319 SAVANNAH ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-1907
Practice Address - Country:US
Practice Address - Phone:202-270-4628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider