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Individual

JEFFREY K LUTTRULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3160 TELEGRAPH RD., #230, VENTURA, CA 93003-3233
(805) 650-0664
(805) 650-0865
Mailing address
3160 TELEGRAPH RD., #230, VENTURA, CA 93003-3233
(805) 650-0664

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
770344068
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
770344068
CALIFORNIA LICENCE
CA
Enumeration date
07/21/2006
Last updated
07/22/2014
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