Individual
TAMMY KAY LUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
704 MEMORIAL DR, GRAND ISLAND, NE 68801-8171
(308) 850-6983
Mailing address
704 MEMORIAL DR, GRAND ISLAND, NE 68801-8171
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24712
NE
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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