Tanja Lutman
Tanja Lutman is registered under Skilled Nursing Facility in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2014
Practice location Address checks out
1207 Dover RdBloomington, IL 61704-7608 Not confirmed with CMS for 12 years — call before visiting
Phone: (309) 242-7567
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 056004223 (IL) |
|---|
Record details
| NPI number | 1023425915 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2014 |
| Last updated in NPPES | July 13, 2014 |
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