Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 35068473R | OH |
Y | 207RC0000X | Internist - Cardiovascular Disease | ME128682 | FL |
NPI | 1013987791 |
---|---|
Provider Name | Dr. Suzanne R Lutton |
First Address | Sarasota, FL 34232-6057 |
Second Address | Sarasota, FL 34232-6057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 16/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G53644 | (02) |