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Individual

DR. ELIZABETH MARY LUTAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1401 UNIVERSITY AVE, BRONX, NY 10452-4050
(718) 681-8700
Mailing address
1401 UNIVERSITY AVE, BRONX, NY 10452-4050
(718) 681-8700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
131135
NY
207RC0000X
Cardiovascular Disease Physician
131135
NY

Other

Enumeration date
03/14/2007
Last updated
10/31/2013
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