Individual
ASHLEY LUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
925 HIGHWAY VV, KENNETT, MO 63857-0071
(573) 300-0796
Mailing address
4904 MARION DR, POPLAR BLUFF, MO 63901-9266
(573) 300-0796
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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