Individual
CRISTINE MARIE LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 PARKERS MILL WAY, SOMERSET, KY 42503
(606) 485-9323
Mailing address
233 PARKERS MILL WAY, SOMERSET, KY 42303
(606) 872-3952
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1204264
KY
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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