Individual
DINA LYNN LUTJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1209 NW NORTH RIDGE DR, SUITE B, BLUE SPRINGS, MO 64015-6321
(816) 988-8415
(816) 988-8395
Mailing address
106 NE LAMPLIGHTER LN, BLUE SPRINGS, MO 64014-1340
(816) 582-9304
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2011023085
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164719969
—
MO
Enumeration date
06/30/2011
Last updated
10/09/2024
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