Individual
KELLY M LUTMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 984-5133
(513) 984-4240
Mailing address
4445 LAKE FOREST DR STE 600, BLUE ASH, OH 45242-3744
(513) 569-3741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006981
OH
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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