Individual
JUDITH GRACE LUTUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5955 JIMMY CARTER BLVD, NORCROSS, GA 30071-4641
(770) 559-3555
Mailing address
5955 JIMMY CARTER BLVD STE 100, NORCROSS, GA 30071-4608
(770) 559-3555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN55534
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN155534
GA
Other
Enumeration date
05/03/2007
Last updated
09/29/2020
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