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Contact Information

JAY A LUGTHART, MD
670 BALDWIN ST
JENISON, MI49428-9757
 Phone: 616-457-4610
 Fax: 616-457-8750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAY A LUGTHART · (Male)

NPI # 1215059241
Status Active
Credentials MD
Entity Individual
Enumeration date 04/03/2007
Last updated 04/01/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MI License # JL039848
  • Other 4099325 AETNA
  • Other 0107011492 BCBS
  • Other 114151PC CCPPO, CHMO, MERCY HEALTH
  • Other 121787 HEALR
  • Other 152756 PHCS
  • MI Other B44069 PRIORITY HEALTH
Hospital affiliation(s)
  • METRO HEALTH HOSPITAL - (Acute Care)
    5900 BYRON CENTER AVENUE, SW
    WYOMING, MI 49519
  • SPECTRUM HEALTH - BUTTERWORTH CAMPUS - (Acute Care)
    100 MICHIGAN ST NE
    GRAND RAPIDS, MI 49503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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