Individual
MR. PHILIP LEWIS LUTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1300 PABST FARMS CIR, OCONOMOWOC, WI 53066-4854
(262) 200-7000
Mailing address
1322 JENSEN CT, DELAFIELD, WI 53018
(262) 646-2311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7822
WI
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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