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Individual

DR. BRANT JOSEPH LUTSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1321 COTTONWOOD ST, SUITE 203, WOODLAND, CA 95695-5131
(530) 668-2600
(530) 662-7330
Mailing address
5328 ROGERS ST, DAVIS, CA 95618-7203
(312) 339-7290

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036113495
IL
207RG0100X
Gastroenterology Physician
Primary
105415
CA

Other

Enumeration date
04/30/2008
Last updated
10/31/2013
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