Lutkus, Gregory

Lutkus, Gregory is an individual health care provider with primary practice located at 28 Crescent St , Middletown CT 06457-3654. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Lutkus, Gregory can be contacted via phone (860) 358-4720.

Contact Information

Primary practice address
28 Crescent St Middletown CT 06457-3654
Phone: (860) 358-4720
Fax: (860) 358-6271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5167 Connecticut

Profile Details

NPI number 1801149778
LBN Legal business name Lutkus, Gregory
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2012
Last updated Oct 17th, 2012 - about 14 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 1801149778 NPPES
Connecticut Other 5167 APRN LICENSE

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