Individual
CARRIE ANN LUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
818 E BROADWAY ST, SPARTA, IL 62286-1820
(618) 443-2177
(618) 443-1380
Mailing address
4800 RILEY LAKE RD, ELLIS GROVE, IL 62241-1424
(618) 304-9024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041344824
IL
Other
Enumeration date
08/23/2017
Last updated
02/26/2021
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