Individual
MS. KATHLEEN ANN LUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9309 OLD GEORGETOWN RD, BETHESDA, MD 20814-1620
(301) 841-0835
Mailing address
9520 JEANNE CT, LAUREL, MD 20723-5924
(240) 508-8522
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R076014
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12431283
CAQH
—
Enumeration date
02/28/2007
Last updated
03/29/2013
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