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Individual

DR. MICHAEL S LUTTRELL

Active
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Individual

DR. MICHAEL S LUTTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP, PHD

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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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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