Tanja Lutman
NPI #1023425915 in Bloomington, Illinois
Provider Information
- NPI Number
- 1023425915
- Entity Type
- Individual
- Name
- Tanja Lutman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 13, 2014
- Last Updated
- Jul 13, 2014
Practice Location
- Address
- 1207 DOVER RD
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7608
- Phone
- (309) 242-7567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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