Individual
DR. DONALD R LUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 SYLVANIA DR, DAYTON, OH 45440-3237
(937) 320-5050
(937) 320-5060
Mailing address
1754 RIVER RIDGE DR, SPRING VALLEY, OH 45370-9777
(937) 545-2323
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35.046666
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0595381
MEDICARE PTAN
OH
Enumeration date
12/01/2005
Last updated
01/03/2019
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