Individual
JOHANNA LYNNE LUTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2668 MONTARA DR, MEDFORD, OR 97504-2170
(541) 816-4270
(541) 779-4824
Mailing address
2668 MONTARA DR, MEDFORD, OR 97504-2170
(541) 816-4270
(541) 779-4824
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
099000623RN
OR
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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