Individual
EVAN W LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1044 SW 44TH ST, SUITE 415, OKLAHOMA CITY, OK 73109-3613
(405) 609-1645
(405) 631-4820
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
76040
OK
Other
Enumeration date
02/27/2007
Last updated
10/03/2012
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