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Jonathan Scott Lutgens JR.
Military Health Care Provider in Tacoma, Washington
NPI 1508513938

Jonathan Scott Lutgens JR. is a Military Health Care Provider based in Tacoma, WA. Jonathan Scott Lutgens JR. practices in Tacoma, WA. The NPI Number for Jonathan Scott Lutgens JR. is 1508513938 and holds a License No. (Washington).

The current practice location address for Jonathan Scott Lutgens JR. is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-3105. You can also correspond with Jonathan Scott Lutgens JR. through the mailing address at 9040 JACKSON AVE, TACOMA, WA - 98431-0001 (mailing address contact number: 253-968-3105).

Location: 9040 Jackson Ave, Tacoma, WA, 98431-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508513938
Provider Name
Jonathan Scott Lutgens JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Tacoma, WA, 98431-0001
Phone Number
253-968-3105
Fax Number
Provider Enumeration Date
03/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-0001
Phone Number
253-968-3105
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-0001
Phone Number
253-968-3105
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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