Individual
ERIN LUTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
500 GILLS CREEK PKWY APT 1914, COLUMBIA, SC 29209-1242
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2198
SC
Other
Enumeration date
06/11/2020
Last updated
07/14/2020
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