Organization
JOYCE LUTEYN, M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE LUTEYN MD (OWNER)
(360) 459-8485
Entity
Organization
Contact information
Practice address
3525 ENSIGN RD NE, SUITE E, OLYMPIA, WA 98506-5065
(360) 459-8485
Mailing address
3525 ENSIGN RD NE, SUITE E, OLYMPIA, WA 98506-5065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00034096
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114545
—
WA
01
—
155121
L & I
WA
Enumeration date
02/07/2008
Last updated
02/07/2008
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