Individual
DR. KEVIN CHARLES LUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13350 FRANKLIN FARM ROAD, SUITE 220, HERNDON, VA 20171-4095
(703) 810-5204
(703) 810-5411
Mailing address
PO BOX 75420, BALTIMORE, MD 21275-5420
(703) 383-6469
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
01011247618
VA
Other
Enumeration date
05/17/2008
Last updated
06/29/2015
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