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Ethan Luttrell
NPI 1487212510 · on the registry since 2019
Practice
- Address
- 302 E 4th St
Eldon, MO 65026 - Phone
- (573) 392-3000
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri