Lutkevich, Connie M

Lutkevich, Connie M is an individual health care provider with primary practice located at 35 Medical Center Pkwy , Augusta ME 04330-8160. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Lutkevich, Connie M can be contacted via phone (207) 621-4680.

Contact Information

Primary practice address
35 Medical Center Pkwy Augusta ME 04330-8160
Phone: (207) 621-4680
Fax: (207) 622-4085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 45784 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X MD24966 Maine

Profile Details

NPI number 1972552412
LBN Legal business name Lutkevich, Connie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Aug 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972552412 NPPES
Minnesota MEDICAID 580076500

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