Most Relevant Information
Provider Data
| NPI Number: | 1003238155 |
| Provider Name: | HENRY AUGUSTUS LUTTERODT |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/08/2014 |
| Last Updated: | 01/08/2014 |
Provider Practice Location
912 SESSIONS LN
KENNER
LA
700652962
Practice Location Phone/Fax
| Phone: | 3364574153 |
| Fax: |
Provider Mailing Location
912 SESSIONS LN
KENNER
LA
700652962
Provider Mailing Phone/Fax
| Phone: | 3364574153 |
| Fax: |