| NPI | 1194483289 |
|---|---|
| Doing Business As | BOBBI LUTACK,ND |
| Entity Type | Organization |
| Authorized Contact | AMANDA BAKER Practice Manager 206-729-0907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |