Individual
MR. SANJIVA MICHAEL LUTCHMEDIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
430 MORTON PLANT ST STE 405, CLEARWATER, FL 33756
(727) 443-0611
(727) 461-5493
Mailing address
2900 LAMB CIRCLE, SUITE 7-700B., CARILION NEW RIVER VALLEY (CMRV), CHRISTIANSBURG, VA 24073
(540) 731-2000
(540) 983-1133
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
0101254085
VA
207RP1001X
Pulmonary Disease Physician
Primary
ME133652
FL
Other
Enumeration date
06/17/2008
Last updated
04/16/2019
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