Individual
KATLIN MARIE LUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28191946A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28191946A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300059057
—
IN
Enumeration date
08/23/2021
Last updated
04/22/2022
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