Healthcare Provider Details

I. General information

NPI: 1568649267
Provider Name (Legal Business Name): MURIEL LUFT MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2008
Last Update Date: 10/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 N HARRISON ST
WARSAW IN
46580-3163
US

IV. Provider business mailing address

850 N. HARRISON ST.
WARSAW IN
46580
US

V. Phone/Fax

Practice location:
  • Phone: 574-267-7169
  • Fax: 574-268-2377
Mailing address:
  • Phone: 574-267-7169
  • Fax: 574-268-2377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: