MEDICARE: MI-PRECIOUS A LUTTERODT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	310464-1	NY

General Provider Information

NPI Number	:	1053830570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MI-PRECIOUS A LUTTERODT

Provider Business Mailing Address
First Line	:	279 JOSEPH AVE APT 10
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14605-1902
Country	:	US
Telephone Number	:	585-683-6538
Fax Number	:

Provider Business Practice Location Address
First Line	:	279 JOSEPH AVE APT 10
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14605-1902
Country	:	US
Telephone Number	:	585-683-6538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1548879679 — TYIAHNNA BROWN
Practice Location Address:

279 JOSEPH AVE APT 6
ROCHESTER, NY
14605-1902

Practice Phone: 585-880-2470
Practice Fax:

1013580455 — CHARDINE'E HUNTE
Practice Location Address:

279 JOSEPH AVE APT 19
ROCHESTER, NY
14605-1902

Practice Phone: 585-471-4667
Practice Fax:

1598825325 — NEW IMAGE HOME HEALTH CARE INC
Practice Location Address:

1902 STAR BATT DR
ROCHESTER HILLS, MI
48309-3711

Practice Phone: 248-844-9650
Practice Fax: 248-844-9650

1144553843 — DEBORAH F. EARLEY LPN
Practice Location Address:

274 COLEBROOK DR
ROCHESTER, NY
14617-1902

Practice Phone: 585-342-8920
Practice Fax:

1023393931 — MRS. ANN C MIRAGLIA LMSW
Practice Location Address:

7 DONLIN DR
ROCHESTER, NY
14624-1902

Practice Phone: 585-594-1964
Practice Fax:

1912391459 — VIJAY K RAMANAN MD, PHD
Practice Location Address:

200 1ST ST SW
ROCHESTER, MN
55905-1902

Practice Phone: 507-284-2511
Practice Fax:

Directions to “ MI-PRECIOUS A LUTTERODT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.