Provider Demographics
NPI:1912754706
Name:LUTON, LEAVURNE ELAINE
Entity Type:Individual
Prefix:MRS
First Name:LEAVURNE
Middle Name:ELAINE
Last Name:LUTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3911 COVINGTON RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-1943
Mailing Address - Country:US
Mailing Address - Phone:216-269-1545
Mailing Address - Fax:
Practice Address - Street 1:3911 COVINGTON RD
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-1943
Practice Address - Country:US
Practice Address - Phone:216-269-1545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-01
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide