TANJA LUTMAN

Skilled Nursing Facility

Active Individual
NPI: 1023425915

Practice Address

1207 DOVER RD
Bloomington, IL 61704

Phone: (309) 242-7567

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 056004223 (IL)

Frequently Asked Questions

NPI 1023425915 is the National Provider Identifier for TANJA LUTMAN, a Skilled Nursing Facility provider located in Bloomington, IL. This NPI was enumerated on July 13, 2014.
TANJA LUTMAN practices at 1207 DOVER RD, Bloomington, IL 61704.

Quick Facts

NPI
1023425915
Type
Individual
Enumerated
Jul 13, 2014
Last Updated
Jul 13, 2014

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