Individual
JOSEPH E LUTES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4301 DONIPHAN DR, NEOSHO, MO 64850-9120
(417) 451-9450
Mailing address
4301 DONIPHAN DR, NEOSHO, MO 64850-9120
(417) 451-9450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012002538
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1211126
AMERICAN ACADEMY OF NURSE PRACTITIONERS
MO
Enumeration date
02/02/2012
Last updated
02/02/2012
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