Lutz, Penelope Elizabeth

Lutz, Penelope Elizabeth is an individual health care provider with primary practice located at 610 Hawthorne Ave Se Ste 250 , Salem OR 97301-5436. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lutz, Penelope Elizabeth can be contacted via phone (503) 559-3312.

Contact Information

Primary practice address
610 Hawthorne Ave Se Ste 250 Salem OR 97301-5436
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 202201833NP-PP Oregon

Profile Details

NPI number 1679228431
LBN Legal business name Lutz, Penelope Elizabeth
Credentials APRN, A-GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2022
Last updated Feb 19th, 2022 - about 2 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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