Provider Demographics
NPI:1700562477
Name:LUTHERAN HEALTH NETWORK
Entity Type:Organization
Organization Name:LUTHERAN HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPY TECH
Authorized Official - Prefix:
Authorized Official - First Name:RILEY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:VOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-610-5896
Mailing Address - Street 1:407 RIDGEMOOR DR APT 4
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-3462
Mailing Address - Country:US
Mailing Address - Phone:585-610-5896
Mailing Address - Fax:
Practice Address - Street 1:407 RIDGEMOOR DR APT 4
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-3462
Practice Address - Country:US
Practice Address - Phone:585-610-5896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty