Individual
JENNIFER LYNN LUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5300 MILITARY RD, LEWISTON, NY 14092-1903
(716) 297-4800
Mailing address
4137 TONAWANDA CREEK RD, NORTH TONAWANDA, NY 14120-9546
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
309115
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
309115
NY
Other
Enumeration date
05/20/2019
Last updated
06/20/2019
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