Jacob Lutgen

NPI #1023862752 in Waco, Texas

Provider Information

NPI Number: 1023862752
Entity Type: Individual
Name: Jacob Lutgen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Apr 17, 2024
Last Updated: Apr 17, 2024

Practice Location

Address: 1600 PROVIDENCE DR
City: Waco
State: Texas
ZIP Code: 76707-2261
Phone: (254) 313-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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