Individual
DR. GLEN ADRIAN LUTCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MHSC
Contact information
Practice address
1124 COLUMBIA ST STE 600, SEATTLE, WA 98104
(206) 386-3660
(206) 386-3644
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60967156
WA
207RG0100X
Gastroenterology Physician
MD60967156
WA
207RT0003X
Transplant Hepatology Physician
Primary
MD60967156
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326208638
—
WA
Enumeration date
06/10/2008
Last updated
11/18/2019
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