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Madison Lee Luttrell
Student in an Organized Health Care Education/Training Program in Portales, New Mexico
NPI 1114696747

Madison Lee Luttrell is a Student in an Organized Health Care Education/Training Program based in Portales, NM. Madison Lee Luttrell practices in Portales, NM. The NPI Number for Madison Lee Luttrell is 1114696747 and holds a License No. (New Mexico).

The current practice location address for Madison Lee Luttrell is 1500 S Ave K, Portales, NM and can be reached out via phone at 575-562-4636.

Location: 1500 S Ave K, Portales, NM, 88130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114696747
Provider Name
Madison Lee Luttrell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1500 S Ave K, Portales, NM, 88130
Phone Number
575-562-4636
Fax Number
Provider Enumeration Date
09/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 S Ave K
City
Portales
State
New Mexico
Zip
88130
Phone Number
575-562-4636
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Ave K
City
Portales
State
New Mexico
Zip
88130
Phone Number
575-562-4636
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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