Individual
JILL LUTKEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4961 RICE LAKE RD, SUITE 105, DULUTH, MN 55803-8438
(218) 727-0296
(218) 727-4135
Mailing address
4961 RICE LAKE RD, SUITE 105, DULUTH, MN 55803-8438
(218) 727-0296
(218) 727-4135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1396315
MN
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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