Individual
DR. LUTTRELL L TOUSSAINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3290
(678) 312-2733
Mailing address
631 PROFESSIONAL DR STE 120, LAWRENCEVILLE, GA 30046-3370
(678) 312-3290
(678) 312-2733
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
066091
GA
2086S0102X
Surgical Critical Care Physician
Primary
066091
GA
2086S0127X
Trauma Surgery Physician
066091
GA
Other
Enumeration date
10/01/2008
Last updated
10/29/2020
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