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NPI Code Detail

MEDICARE: SAVANNAH LUTTRELL

MEDICARE: SAVANNAH LUTTRELL
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
1363A00000XPhysician Assistant0110011686VA

General Provider Information

NPI Number : 1699625764
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANNAH LUTTRELL
Provider Business Mailing Address
First Line : 10007 MOORGATE AVE APT 205
Second Line :
City : SPOTSYLVANIA
State : VA
Zip : 22553-4420
Country : US
Telephone Number : 423-360-7456
Fax Number :
Provider Business Practice Location Address
First Line : 1001 SAM PERRY BLVD
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-4453
Country : US
Telephone Number : 540-741-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ SAVANNAH LUTTRELL ” Practice Location

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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.

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