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

JEANINE LUTGEN, PA-C

Active

JEANINE LUTGEN, PA-C is a Surgical Physician Assistant healthcare provider located in LAVEEN, Arizona. NPI 1609936772 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · LAVEEN, AZ

Registration Details

NPI Number
1609936772
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2006 (19.878758550021 yrs)
Last Updated
Apr 8, 2019
License
3608 (AZ)

Practice Information

Address
4521 W HOPI TRL
LAVEEN, AZ, 853392068
Browse AZ providers · Browse ZIP 85339
Phone
6027953371
Primary Specialty
Surgical Physician Assistant
363AS0400X
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.