| NPI | 1508104811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE G LUTTS Owner/Provider 306-518-9936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60079873) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-01-21 |