Tausha Luttrell

NPI #1609219930 in Fishers, Indiana

Provider Information

NPI Number: 1609219930
Entity Type: Individual
Name: Tausha Luttrell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Apr 17, 2013
Last Updated: Apr 17, 2013

Practice Location

Address: 8609 E 116TH ST
City: Fishers
State: Indiana
ZIP Code: 46038-1560
Phone: (317) 709-4559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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