Lutjen, Dina Lynn

Lutjen, Dina Lynn is an individual health care provider with primary practice located at 1209 Nw North Ridge Dr Suite B, Blue Springs MO 64015-6321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lutjen, Dina Lynn can be contacted via phone (816) 988-8415.

Contact Information

Primary practice address
1209 Nw North Ridge Dr Suite B Blue Springs MO 64015-6321
Phone: (816) 988-8415
Fax: (816) 988-8395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2011023085 Missouri

Profile Details

NPI number 1164719969
LBN Legal business name Lutjen, Dina Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2011
Last updated Jul 18th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164719969 NPPES
Missouri MEDICAID 1164719969

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