Stacia Luton
Case Manager/Care Coordinator in Malvern, AR. Individual provider (NPI-1).
NPI number1669920799
StatusActive
Last updated in NPPESSep 19, 2016
Details
- NPI
- 1669920799
- Entity type
- Individual (NPI-1)
- Name
- Stacia Luton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2016
- Last updated
- Sep 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | AR | Yes |
Practice location
1628 E Page AveMalvern, AR 72104-4524
Phone 501-315-3344
Mailing address
Po Box 1589Benton, AR 72018-1589
Phone 501-315-3344
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