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Individual

LADAN LUTFI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C.

Contact information

Practice address
5673 PEACHTREE DUNWOODY RD NE, STE350, ATLANTA, GA 30342-1731
(404) 778-8065
(678) 843-6693
Mailing address
5673 PEACHTREE DUNWOODY RD NE, STE 350, ATLANTA, GA 30342-1731
(404) 778-8065
(678) 843-6693

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
005004
GA
363AS0400X
Surgical Physician Assistant
Primary
005004
GA

Other

Enumeration date
03/05/2007
Last updated
06/16/2015
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