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Individual

MRS. KATIE LYNNE LUTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
516 WEST 14TH AVENUE, SUITE 100, HOLDREGE, NE 68949-1216
(308) 995-4431
(308) 995-3397
Mailing address
516 WEST 14TH AVENUE, SUITE 100, HOLDREGE, NE 68949-1216
(308) 995-4431
(308) 995-3397

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1103222
NE
363A00000X
Physician Assistant
Primary
1638
NE

Other

Enumeration date
02/13/2012
Last updated
11/08/2012
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