Individual provider · Type 1 NPI

Jessica Joyce Lutkenhoff, MD

Student in an Organized Health Care Education/Training Program · Mount Clemens, MI

NPI number 1013707603 Active

Practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Call (586) 493-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1013707603

Jessica Joyce Lutkenhoff, MD's National Provider Identifier is 1013707603, issued on May 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mount Clemens, MI. The record was last updated on May 8, 2025.