Provider Demographics
NPI:1952344376
Name:LUTON, JAMES GILBERT (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:GILBERT
Last Name:LUTON
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:HC 1 BOX 194K
Mailing Address - Street 2:KAREN GLEN WAY
Mailing Address - City:BRODHEADSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18322-9639
Mailing Address - Country:US
Mailing Address - Phone:570-992-4413
Mailing Address - Fax:570-992-4413
Practice Address - Street 1:250 S 21ST ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3851
Practice Address - Country:US
Practice Address - Phone:570-236-1405
Practice Address - Fax:570-992-4413
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2020-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARN30730L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA460504745OtherTRICARE
PA001554633OtherHIGHMARK BLUE SHIELD
PA460504745OtherCIGNA HEALTH CARE