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
Phone: (503) 559-3312
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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