Individual
GREGORY DONALD LUTZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FRCPC
Contact information
Practice address
1100 9TH AVE, C3-GAS, SEATTLE, WA 98101-2756
(206) 625-7373
Mailing address
1100 9TH AVE, C3-GAS, SEATTLE, WA 98101-2756
(206) 625-7373
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20202812
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801184023
—
WA
01
—
P01025157
RAILROAD MEDICARE
WA
Enumeration date
07/21/2011
Last updated
07/06/2012
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