Jeanine Lutgen is a Surgical in Laveen, Arizona. Jeanine Lutgen practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jeanine Lutgen is 1609936772. The last update date is 2019-04-08.
Jeanine Lutgen's current location address is Po Box 436, Laveen, Arizona. You can contact this provider via phone number 6027953371. The mailing address for Jeanine Lutgen is Po Box 436, Laveen, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanine Lutgen |
|---|---|
| Address | Po Box 436, Laveen, Arizona |
| Phone Number | 6027953371 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1609936772 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2019-04-08 |
Provider Mailing Address Detail
| Address | Po Box 436 |
|---|---|
| City | Laveen |
| State | Arizona (AZ) |
| Post Code | 853390436 |
| Phone Number | 6027953371 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 3608 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 284600 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeanine Lutgen by the Centers for Medicare & Medicaid Services (CMS)?
The Jeanine Lutgen has been assigned the NPI (National Provider Identifier) 1609936772. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jeanine Lutgen?
The Jeanine Lutgen is physically situated at Po Box 436, in the city of Laveen, state of AZ, with the postal code 853390436.
What is the Jeanine Lutgen's specialty and taxonomy code?
The Jeanine Lutgen's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did Jeanine Lutgen receive its 1609936772 assignment from the Centers for Medicare & Medicaid Services?
The Jeanine Lutgen was assigned its 1609936772 on 2006-12-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jeanine Lutgen most recently updated?
The details pertaining to the Jeanine Lutgen, including its address, specialty, and other relevant information, were last refreshed on 2019-04-08.
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