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Individual

DR. JEFFREY L LUTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1000 N BROWN ST STE A, ABILENE, KS 67410-1824
(785) 263-3651
(785) 263-3561
Mailing address
1000 N BROWN ST STE A, ABILENE, KS 67410-1824
(785) 263-3651
(785) 263-3561

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1404
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100220010B
KS
Enumeration date
06/01/2005
Last updated
03/26/2013
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