Brandon Luttrell
Specialist in Lubbock, TX. Individual provider (NPI-1).
NPI number1457742017
StatusActive
Last updated in NPPESFeb 17, 2015
Details
- NPI
- 1457742017
- Entity type
- Individual (NPI-1)
- Name
- Brandon Luttrell
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 17, 2015
- Last updated
- Feb 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 1167560 | TX | Yes |
Practice location
6640 Iola AveLubbock, TX 79424-7845
Phone 806-797-8099
Mailing address
4602 100th StLubbock, TX 79424-7319
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