Individual
JENNIFER ERIN LUTTERLOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16970 STAGE RD, LANEXA, VA 23089-5241
(757) 870-2386
Mailing address
16970 STAGE RD, LANEXA, VA 23089-5241
(757) 870-2386
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
$$$$$$$$$
VA
372600000X
Adult Companion
—
VA
372600000X
Adult Companion
—
—
Other
Enumeration date
11/25/2024
Last updated
12/04/2024
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