Individual
INNOCENT LUTAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
33 SHIRLEY ST, LEXINGTON, MA 02421-4606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP06053
RI
Other
Enumeration date
04/05/2023
Last updated
04/09/2025
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