Kenneth Michael Lutsch in Machesney Park - General Practice
Kenneth Michael Lutsch - NPI 1851415376
Kenneth Michael Lutsch is a General Practice in Machesney Park, Illinois. Kenneth Michael Lutsch practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Michael Lutsch is 1851415376. The last update date is 2007-07-08.
Kenneth Michael Lutsch's current location address is 619 Harlem Rd, Machesney Park, Illinois. You can contact this provider via phone number 8158778800 and fax number 8158778805. The mailing address for Kenneth Michael Lutsch is 619 Harlem Rd, Machesney Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Michael Lutsch |
|---|---|
| Address | 619 Harlem Rd, Machesney Park, Illinois |
| Phone Number | 8158778800 |
| Fax Number | 8158778805 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1851415376 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 619 Harlem Rd |
|---|---|
| City | Machesney Park |
| State | Illinois (IL) |
| Post Code | 611152429 |
| Phone Number | 8158778800 |
| Fax Number | 8158778805 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19.020868 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Kenneth Michael Lutsch by the Centers for Medicare & Medicaid Services?
The Kenneth Michael Lutsch has been issued the NPI (National Provider Identifier) 1851415376 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kenneth Michael Lutsch?
The Kenneth Michael Lutsch is situated at 619 Harlem Rd, in the city of Machesney Park, state of IL, with the zip code 611152429.
What is the Kenneth Michael Lutsch's area of specialization and corresponding taxonomy classification?
The Kenneth Michael Lutsch's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When was the Kenneth Michael Lutsch's 1851415376 issued?
The Kenneth Michael Lutsch's 1851415376 was issued on 2007-03-19.
As of what date were the Kenneth Michael Lutsch's details last updated?
The information pertaining to the Kenneth Michael Lutsch, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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