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Dr. Jay Allen Lugthart, MD
Emergency Medical Services (Emergency Medicine) Physician in Jenison, Michigan
NPI 1215059241

Jay Allen Lugthart is a Emergency Medical Services (Emergency Medicine) Physician based in Byron Center, MI and is specialized in Emergency Medical Services. Jay Allen Lugthart practices in Jenison, MI and has the professional credentials of MD. The NPI Number for Jay Allen Lugthart is 1215059241 and holds a License No. JL039848 (Michigan).

The current practice location address for Jay Allen Lugthart is 670 Baldwin St, Jenison, MI and can be reached out via phone at 616-457-4610 and via fax at 616-457-8750.

Location: 670 Baldwin St, Jenison, MI, 49315-9428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215059241
Provider Name
Jay Allen Lugthart
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
670 Baldwin St, Jenison, MI, 49315-9428
Phone Number
616-457-4610
Fax Number
616-457-8750
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114151PC 01 CCPPO, CHMO, MERCY HEALTH
121787 01 HEALR
152756 01 PHCS
4099325 01 AETNA
0107011492 01 BCBS
B44069 01 MI PRIORITY HEALTH
institution
Provider Business Practice Location Address Details
Address
670 Baldwin St
City
Jenison
State
Michigan
Zip
49428-9757
Phone Number
616-457-4610
Fax Number
616-457-8750
person
Provider Business Mailing Address Details
Address
670 Baldwin St
City
Jenison
State
Michigan
Zip
49428-9757
Phone Number
616-457-4610
Fax Number
616-457-8750
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
JL039848 (Michigan)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
207QG0300X
License No.
JL039848 (Michigan)
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
JL039848 (Michigan)
Definition
Definition to come...
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