Individual provider · Type 1 NPI

Justice Nicole Luttrell, PA

Physician Assistant · Lakeview, MI

NPI number 1265166797 Active

Practice location

8650 Howard City Edmore Rd
Lakeview, MI 48850-7102

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601011239 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1265166797

Justice Nicole Luttrell, PA's National Provider Identifier is 1265166797, issued on Jul 11, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lakeview, MI. The record was last updated on Jun 26, 2023.