Individual
JALEN K LUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8231
(276) 275-1801
Mailing address
206 STEEL HORSE DR, MADISON, AL 35757-8730
(256) 682-2503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-179366
AL
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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