Individual
PETER LULTSCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 333-5000
Mailing address
7 GLASSWORKS RD, GREENSBORO, PA 15338-9507
(724) 943-3308
(724) 943-3310
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD046576L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012988430002
—
PA
Enumeration date
06/11/2006
Last updated
08/17/2020
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