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Individual

MATTHEW R LUTJENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
105 S STATE ST STE 113, ABERDEEN, SD 57401-4502
(605) 225-0378
(605) 225-7919
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2876
(605) 622-2804

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001148
SD

Other

Enumeration date
10/07/2016
Last updated
03/17/2018
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