Individual provider · Type 1 NPI

Jonathan Scott Lutgens Jr.

Military Health Care Provider · Tacoma, WA

NPI number 1508513938 Active

Practice location

9040 Jackson Ave
Tacoma, WA 98431-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1508513938

Jonathan Scott Lutgens Jr.'s National Provider Identifier is 1508513938, issued on Mar 5, 2022. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Tacoma, WA. The record was last updated on Aug 8, 2023.