MATTHEW LEE LUTTRELL

JACKSON, TN
NPI1174157515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  27140)
Enumeration Date2020-02-25
Last Update Date2020-02-25
Business Address
MATTHEW LEE LUTTRELL APN
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-422-0213
Mailing Address
MATTHEW LEE LUTTRELL APN
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-425-5752