NPI 1023862752

Jacob Lutgen

Practitioner Family Medicine Physician Waco, TX

Practice location

Address: 1600 Providence Dr, Waco, TX 76707-2261
Phone: (254) 313-4200

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence BP10087790 (TX)

Other Family Medicine providers in Texas →

Registry record

NPI: 1023862752
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2024
Record last updated: 17 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.