Individual
JAYSON JEFFERY LUTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
869 W CHILTON AVE, GILBERT, AZ 85233-4710
(480) 259-8230
(480) 259-8230
Mailing address
869 W CHILTON AVE, GILBERT, AZ 85233-4710
(480) 259-8230
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN103132
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN103132
VETERANS ADMINISTRATION
AZ
Enumeration date
11/27/2017
Last updated
11/27/2017
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