Lutosky, Sharon Lee

Lutosky, Sharon Lee is an individual health care provider with primary practice located at 1011 Sylvan Ave , Modesto CA 95350-1692. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Lutosky, Sharon Lee can be contacted via phone (209) 575-2020.

Contact Information

Primary practice address
1011 Sylvan Ave Modesto CA 95350-1692
Phone: (209) 575-2020
Fax: (209) 758-5693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G25184 California

Profile Details

NPI number 1972592434
LBN Legal business name Lutosky, Sharon Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jan 27th, 2011 - about 13 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 1972592434 NPPES
California MEDICAID 00G251840
California Other 180040074

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