Individual
DR. CONNIE M LUTKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 621-4680
(207) 622-4085
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 621-4680
(207) 622-4085
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
45784
MN
208600000X
Surgery Physician
Primary
MD24966
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580076500
—
MN
Enumeration date
05/10/2006
Last updated
08/24/2021
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