DR. Jay Allen Lugthart, M.D.

NPI #1215059241 in Jenison, Michigan

Provider Information

NPI Number: 1215059241
Entity Type: Individual
Name: DR. Jay Allen Lugthart, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Apr 3, 2007
Last Updated: Apr 1, 2008

Practice Location

Address: 670 BALDWIN ST
City: Jenison
State: Michigan
ZIP Code: 49428-9757
Phone: (616) 457-4610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X

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