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Individual

MRS. SARAH G HALM LUTTERODT

Active
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Individual

MRS. SARAH G HALM LUTTERODT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN,CNS

Taxonomy

Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
209-005280
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
209-005280
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209-005280
IL
Enumeration date
03/26/2007
Last updated
04/30/2013
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