Individual
ROBIN LYNN LUTKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
:LPN MHP
Contact information
Practice address
1401 WAHSINGTON STREET, CAIRO, IL 62914
(618) 734-2665
(618) 734-1999
Mailing address
302 S 3RD ST, MOUND CITY, IL 62963-1241
(618) 306-5101
(618) 734-1999
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.120358
IL
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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