Lutter, Johanne

Lutter, Johanne is an individual health care provider with primary practice located at 2279 Mount Vernon Rd Lincoln College Of New England Dental Dept Attn R Ryan, Southington CT 06489-1007. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Lutter, Johanne can be contacted via phone (860) 426-0467.

Contact Information

Primary practice address
2279 Mount Vernon Rd Lincoln College Of New England Dental Dept Attn R Ryan Southington CT 06489-1007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 006468 Connecticut

Profile Details

NPI number 1861473043
LBN Legal business name Lutter, Johanne
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 15th, 2012 - about 13 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 1861473043 NPPES
Connecticut MEDICAID 004236354

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