Jennifer Erin Lutterloh
Individual provider Active NPI Adult Companion · Lanexa, VA
NPI 1548086523 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1548086523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- License
- $$$$$$$$$ (VA)
- Practice address
- 16970 Stage Rd
Lanexa, VA 23089-5241 - Phone
- (757) 870-2386
- NPI assigned
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Adult Companion | 372600000X | VA | ||
| Adult Companion | 372600000X | $$$$$$$$$ | VA | Yes |
Addresses
Primary practice location
16970 Stage Rd
Lanexa, VA 23089-5241
Mailing address
16970 Stage Rd
Lanexa, VA 23089-5241
Phone (757) 870-2386
Other providers in Lanexa, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.