Provider Demographics
NPI:1548928500
Name:LUTHAR, NAVNEET KUMAR
Entity type:Individual
Prefix:
First Name:NAVNEET
Middle Name:KUMAR
Last Name:LUTHAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3142 REBEL DR
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-4264
Mailing Address - Country:US
Mailing Address - Phone:608-577-2330
Mailing Address - Fax:
Practice Address - Street 1:3142 REBEL DR
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-4264
Practice Address - Country:US
Practice Address - Phone:608-577-2330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver