Individual
DR. JUSTYN LUTFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD CM, FRCS(C)
Contact information
Practice address
747 N RUTLEDGE ST, SPRINGFIELD, IL 62702-6700
(217) 545-6112
(217) 545-2588
Mailing address
PO BOX 19653, SPRINGFIELD, IL 62794-9653
(217) 545-6112
(217) 545-2588
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
125.066416
IL
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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