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Individual
ROBIN R LUTES
Active
Individual
ROBIN R LUTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
82821
WV
163W00000X
Registered Nurse
RN593018
PA
363LF0000X
Family Nurse Practitioner
F0813366
PA
363LF0000X
Family Nurse Practitioner
Primary
SP013321
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330490FAE
MEDICARE
—
Enumeration date
10/31/2013
Last updated
09/24/2019
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