Lutrin, Calvin L

Lutrin, Calvin L is an individual health care provider with primary practice located at 1441 N 12Th St , Phoenix AZ 85006-2837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Lutrin, Calvin L can be contacted via phone (602) 747-4577.

Contact Information

Primary practice address
1441 N 12Th St Phoenix AZ 85006-2837
Phone: (602) 747-4577
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 23471 Arizona

Profile Details

NPI number 1124086152
LBN Legal business name Lutrin, Calvin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Mar 17th, 2008 - about 17 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 1124086152 NPPES
Arizona MEDICAID 330572

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