Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANJA LUTMAN
Active Sole ProprietorTANJA LUTMAN is a Skilled Nursing Facility healthcare provider located in BLOOMINGTON, Illinois. NPI 1023425915 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1023425915
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2014 (12.059909740157 yrs)
- Last Updated
- Jul 13, 2014
- License
-
056004223 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1207 DOVER RDBLOOMINGTON, IL, 617047608Browse IL providers · Browse ZIP 61704
- Phone
- 3092427567
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.