Individual provider · Type 1 NPI
Jay Allen Lugthart, MD
General Practice Physician · Jenison, MI
NPI number
1215059241
Active
Practice location
670 Baldwin St
Jenison, MI 49428-9757
Fax (616) 457-8750
Mailing address
4419 68th St SW
Byron Center, MI 49315-9428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | JL039848 (MI) |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | JL039848 (MI) |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | JL039848 (MI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1215059241
Jay Allen Lugthart, MD's National Provider Identifier is 1215059241, issued on Apr 3, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jenison, MI. The record was last updated on Apr 1, 2008.