Individual
EMILY LUTTERLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6195
(401) 444-6378
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6195
(401) 444-6378
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD12329
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225232
—
RI
01
—
MD12329
LICENSE
RI
Enumeration date
06/14/2007
Last updated
01/29/2008
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