Jdl-Ctspa
NPI #1831353382 in Laveen, Arizona
Provider Information
- NPI Number
- 1831353382
- Entity Type
- Organization
- Organization Name
- Jdl-Ctspa
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Jul 14, 2008
- Last Updated
- Apr 8, 2019
Practice Location
Authorized Official
- Name
- MS. JEANINE DIANE LUTGEN, PA-C
- Title
- MANAGER
- Phone
- (602) 795-3371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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