Individual
KATHLEEN Q LUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3545 OLENTANGY RIVER RD, SUITE 401, COLUMBUS, OH 43214-3907
(614) 261-0101
(614) 261-6087
Mailing address
3545 OLENTANGY RIVER RD, SUITE 401, COLUMBUS, OH 43214-3907
(614) 261-0101
(614) 261-6087
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35053883
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0613507
MEDICARE PTAN
OH
Enumeration date
09/25/2006
Last updated
12/20/2011
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