Individual
SHAUN LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
537 BELLWOOD DR, ELIZABETHTOWN, KY 42701-2336
(901) 277-1338
Mailing address
117 KENTUCKY AVE, SPRINGFIELD, KY 40069-1049
(901) 277-1338
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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