Individual
SHARON LEE LUTOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1011 SYLVAN AVE, MODESTO, CA 95350-1692
(209) 575-2020
(209) 758-5693
Mailing address
1011 SYLVAN AVE, MODESTO, CA 95350-1692
(209) 575-2020
(209) 758-5693
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G25184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G251840
—
CA
01
—
180040074
RAILROAD MEDICARE
—
Enumeration date
10/18/2005
Last updated
01/27/2011
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