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Individual

CASSANDRA L LUTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN,FNP

Contact information

Practice address
215 HIGHWAY AA, TROY, MO 63379
(636) 295-1009
Mailing address
215 HIGHWAY AA, TROY, MO 63379-4423
(636) 295-1009

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2000158996
MO
363LC1500X
Community Health Nurse Practitioner
2000158996
MO
363LF0000X
Family Nurse Practitioner
2000158996
MO
363LP2300X
Primary Care Nurse Practitioner
2000158996
MO

Other

Enumeration date
08/29/2007
Last updated
06/03/2018
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