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Individual

JEFFREY S LUTTON JR.

Active
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Individual

JEFFREY S LUTTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD435658
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1007307260034
MEDICAID GROUP #
PA
05
102223901 0002
PA
01
2076567
HIGHMARK BLUE SHIELD
PA
01
8147803
AETNA HMO
PA
01
867633
MEDICARE GROUP #
PA
01
9320302
AETNA NON HMO
PA
01
P00964825
RAILROAD MEDICARE
PA
Enumeration date
05/23/2008
Last updated
09/26/2019
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