Individual
JENNIFER LUTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9898 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 824-5222
Mailing address
2918 LA COSTA AVE, CARLSBAD, CA 92009-7470
(406) 579-6343
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000849
CA
Other
Enumeration date
07/08/2014
Last updated
07/21/2022
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