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Individual

MARK D LUTTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
535 GATEWAY DR, LAWRENCE, KS 66049-2342
(785) 331-0106
(785) 331-0107
Mailing address
535 GATEWAY DR, LAWRENCE, KS 66049-2342
(785) 331-0106
(785) 331-0107

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T-02013
KS

Other

Enumeration date
06/17/2008
Last updated
06/17/2008
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