Individual
DR. MICHAEL S LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP, PHD
Contact information
Practice address
101 PROFESSIONAL PARK STE A, OXFORD, NC 27565-2580
(919) 693-3972
Mailing address
208 SILVER PINE CT, DURHAM, NC 27713-9266
(919) 593-6086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
122695
WI
363LF0000X
Family Nurse Practitioner
Primary
201861
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43845100
—
WI
01
—
500002725
MEDICARE RAILROAD
WI
Enumeration date
03/04/2009
Last updated
08/05/2009
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