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Individual

MRS. CAMMERON LUTRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1962 JULIA ST, RAYVILLE, LA 71269-5527
(318) 728-8833
(318) 728-6183
Mailing address
1477 FRENCHMANS BEND RD, MONROE, LA 71203-8792
(318) 805-8624

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05896
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1889148
LA
Enumeration date
07/09/2009
Last updated
07/17/2013
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