Individual
MRS. ALEXANDRA N LUTOMSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9650 GROSS POINT RD, SKOKIE, IL 60076-1214
(847) 677-9600
Mailing address
9650 GROSS POINT RD, SKOKIE, IL 60076-1214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006346
IL
363AS0400X
Surgical Physician Assistant
085.006346
IL
Other
Enumeration date
09/15/2017
Last updated
02/08/2018
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