Individual
DOUGLAS H LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
930 E EMERALD AVE, STE 813, KNOXVILLE, TN 37917-4539
(865) 546-9751
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN92050
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3345173
—
TN
01
—
500028566
RR MEDICARE PIN
TN
Enumeration date
06/28/2006
Last updated
05/08/2008
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