Individual
DR. CAROL A. LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4200 HOUMA BLVD, METAIRIE, LA 70006-2970
(504) 454-4133
(504) 456-8125
Mailing address
PO BOX 8090, METAIRIE, LA 70011-8090
(504) 454-4133
(504) 456-8125
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10832R
LA
2085R0202X
Diagnostic Radiology Physician
MD17514
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1698032
—
LA
Enumeration date
06/20/2005
Last updated
04/08/2021
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