Individual
SALLY A LUTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2180 S MAIN ST, WEST BEND, WI 53095-5754
(414) 532-3127
Mailing address
2180 S MAIN ST, WEST BEND, WI 53095-5754
(262) 532-3127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5028
WI
Other
Enumeration date
10/11/2012
Last updated
03/23/2023
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