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Individual
STEVEN REECE LUTTRELL
Active
Individual
STEVEN REECE LUTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
676569
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13250091
DRIVER'S LICENSE
TX
Enumeration date
06/15/2006
Last updated
05/01/2024
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