Lutti Penton in Fond Du Lac - Plastic And Reconstructive Surgery
Lutti Penton - NPI 1073595120
Lutti Penton is a Plastic And Reconstructive Surgery in Fond Du Lac, Wisconsin. Lutti Penton practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Lutti Penton is 1073595120. The last update date is 2007-07-08.
Lutti Penton's current location address is 420 E Division St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209268614. The mailing address for Lutti Penton is 420 E Division St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lutti Penton |
|---|---|
| Address | 420 E Division St, Fond Du Lac, Wisconsin |
| Phone Number | 9209268614 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073595120 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 420 E Division St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549354560 |
| Phone Number | 9209268614 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 19796 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31245800 | WI | -- | |
| WI01A7 | WI | JOHN DEERE | |
| 390807236B4 | WI | UNITY | |
| 12574 | WV | DEAN |
Post Comment/ Review Below
What is the Lutti Penton's unique identification number?
The Lutti Penton has been assigned the NPI (National Provider Identifier) Number 1073595120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Lutti Penton is located?
The Lutti Penton is situated at the following address: 420 E Division St, Fond Du Lac, WI, 549354560.
What is Lutti Penton's area of expertise and its corresponding taxonomy classification?
The Lutti Penton's field of specialization is Plastic And Reconstructive Surgery, and it falls under the taxonomy code 2086S0122X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lutti Penton receive the assignment of its 1073595120 from the Centers for Medicare & Medicaid Services?
The Lutti Penton was issued its 1073595120 by the Centers for Medicare & Medicaid Services on 2005-11-15.
As of what date was the information regarding Lutti Penton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lutti Penton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.