Individual
DR. MICHAEL D LUTTRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 E 23RD ST, APT 208, NEW YORK, NY 10010-3702
(646) 386-6565
Mailing address
155 E 23RD ST, APT 208, NEW YORK, NY 10010-3702
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
244161-1
NY
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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