Individual
JUDITH LUTWAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
160 OSBORNE RD, COLONIE, NY 12205-1934
(518) 459-9954
Mailing address
160 OSBORNE RD, COLONIE, NY 12205-1934
(518) 459-9954
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
51-025019
NY
164W00000X
Licensed Practical Nurse
273576
NY
Other
Enumeration date
08/18/2015
Last updated
08/19/2015
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