JUSTICE NICOLE LUTTRELL, PA

NPI: 1265166797 · Individual · Active

Primary Specialty

Physician Assistant

Practice Location

8650 HOWARD CITY EDMORE RD
LAKEVIEW, MI 48850-7102 Map ↗
Phone: 989-352-6474

Mailing Address

100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560 Map ↗
Phone: 616-486-6790

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Physician Assistant Primary (license: 5601011239, MI)

NPI Registration

Enumerated: 2022-07-11

Last CMS Update: 2023-06-26