Shane Luettgen

NPI #1790245793 in Indialantic, Florida

Provider Information

NPI Number: 1790245793
Entity Type: Individual
Name: Shane Luettgen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Enumeration Date: Mar 25, 2019
Last Updated: Mar 25, 2019

Practice Location

Address: 106 10TH AVE
City: Indialantic
State: Florida
ZIP Code: 32903-3208
Phone: (321) 591-7248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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