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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAY ALLEN LUGTHART, M.D.

Active

DR. JAY ALLEN LUGTHART, M.D. is a General Practice healthcare provider located in JENISON, Michigan. NPI 1215059241 is currently active in the NPPES registry. Verify at CMS.

General Practice · JENISON, MI

Registration Details

NPI Number
1215059241
Provider Type
Individual
Gender
Male
NPI Issued
Apr 3, 2007 (19.40450628604 yrs)
Last Updated
Apr 1, 2008
Licenses
JL039848 (MI)
JL039848 (MI)
JL039848 (MI)

Practice Information

Address
670 BALDWIN ST
JENISON, MI, 494289757
Browse MI providers · Browse ZIP 49428
Phone
6164574610
Fax
6164578750
Primary Specialty
General Practice
208D00000X
Additional Specialty
Geriatric Medicine
Additional Specialty
Emergency Medical Services
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.