Individual
BRANDON LUTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6640 IOLA AVE, LUBBOCK, TX 79424-7845
(806) 797-8099
Mailing address
4602 100TH ST, LUBBOCK, TX 79424-7319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1167560
TX
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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