Individual
STEPHANIE RENE' LUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37316 W THORNER RD, PEARL RIVER, LA 70452-5604
(985) 960-6428
Mailing address
37316 W THORNER RD, PEARL RIVER, LA 70452-5604
(985) 960-6428
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
141517
LA
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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