Individual provider · Type 1 NPI

Madeline Elaine Luttrell, PA-C

Medical Physician Assistant · Aurora, CO

NPI number 1780922179 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 · (720) 255-1000
  • 700 NE 13th St, Oklahoma City, OK 73104-5004 · (866) 392-8363

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.0005252 (CO)
Physician Assistant 363A00000XAPA2185 (OK)
Physician Assistant 363A00000XPA9107907 (FL)
Medical Physician Assistant Primary 363AM0700XPA.0005252 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1780922179

Madeline Elaine Luttrell, PA-C's National Provider Identifier is 1780922179, issued on Jan 21, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aurora, CO. The record was last updated on Oct 13, 2021.