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Individual

GREGORY LUTKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4720
(860) 358-6271
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4720
(860) 358-6271

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5167
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5167
APRN LICENSE
CT
Enumeration date
10/17/2012
Last updated
10/17/2012
About Stedi
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  • EDI platform