Provider Demographics
NPI:1730072836
Name:LUTHER, LUSCIN KABUA
Entity type:Individual
Prefix:
First Name:LUSCIN
Middle Name:KABUA
Last Name:LUTHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6955 DELRIDGE WAY SW APT 215
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-1894
Mailing Address - Country:US
Mailing Address - Phone:206-710-3240
Mailing Address - Fax:
Practice Address - Street 1:6955 DELRIDGE WAY SW APT 215
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-1894
Practice Address - Country:US
Practice Address - Phone:206-710-3240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty