Individual
MS. SHEILA A LUTTRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1127 ROSS AVE., WACO, TX 76706
(254) 759-5605
Mailing address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(254) 759-5605
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
668601
TX
Other
Enumeration date
11/12/2009
Last updated
04/12/2016
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