Individual
JACOB L. LUFKIN
Active
Individual
JACOB L. LUFKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28219682A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
57248
ID
Other
Enumeration date
02/02/2015
Last updated
03/23/2020
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