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Individual

KEVAN LUTCHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 MIDDLESEX AVE, SOMERVILLE, MA 02145-1102
(617) 591-4660
Mailing address
201 LONG CANYON CT, RICHARDSON, TX 75080-2669
(469) 237-5893

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
S6680
TX
2083X0100X
Occupational Medicine Physician
Primary
1014847
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2017
Last updated
09/20/2023
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