Individual
OLGA LUTSYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
901 GROVE ST, LOUDON, TN 37774-1601
(865) 657-3755
Mailing address
901 GROVE ST, LOUDON, TN 37774-1601
(406) 238-6820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4630
TN
207Q00000X
Family Medicine Physician
76404
MT
Other
Enumeration date
09/22/2015
Last updated
08/02/2022
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