Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Scott Lutgens Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508513938

Jonathan Scott Lutgens Jr. is a Student in an Organized Health Care Education/Training Program in Tacoma, Washington. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-3105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508513938
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 5, 2022
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

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