Individual
DR. WILLIAM B LUTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7401 104TH AVE STE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Mailing address
7401 104TH AVE STE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
52122-021
WI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
52122-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437123080
—
WI
01
—
209664
PROVIDER NUMBER CMS
IL
Enumeration date
02/13/2006
Last updated
10/23/2025
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