Individual
ELIZABETH LUTOCKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 567-2180
Mailing address
13985 MARY CT, FISHERS, IN 46038-8343
(317) 642-6816
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
138160
IN
Other
Enumeration date
03/25/2024
Last updated
12/17/2024
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