DR. Kenneth Michael Lutsch
NPI #1851415376 in Machesney Park, Illinois
Provider Information
- NPI Number
- 1851415376
- Entity Type
- Individual
- Name
- DR. Kenneth Michael Lutsch
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 619 HARLEM RD
- City
- Machesney Park
- State
- Illinois
- ZIP Code
- 61115-2429
- Phone
- (815) 877-8800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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