Individual
LYLE L LUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
805 3RD ST, LANGDON, ND 58249-2625
(701) 256-3330
(701) 256-5720
Mailing address
805 3RD ST, LANGDON, ND 58249-2625
(701) 256-3330
(701) 256-5720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4748
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4748
PHARMACY LICENSE
ND
Enumeration date
08/16/2006
Last updated
12/11/2019
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