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Lutti Penton, MD
Plastic and Reconstructive Surgery Physician in Fond Du Lac, Wisconsin
NPI 1073595120

Lutti Penton is a Plastic and Reconstructive Surgery Physician based in Fond Du Lac, WI and is specialized in Plastic and Reconstructive Surgery. Lutti Penton practices in Fond Du Lac, WI and has the professional credentials of MD. The NPI Number for Lutti Penton is 1073595120 and holds a License No. 19796 (Wisconsin).

The current practice location address for Lutti Penton is 420 E Division St, Fond Du Lac, WI and can be reached out via phone at 920-926-8614.

Location: 420 E Division St, Fond Du Lac, WI, 54935-4560
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Provider Profile Details
NPI Number
1073595120
Provider Name
Lutti Penton
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
420 E Division St, Fond Du Lac, WI, 54935-4560
Phone Number
920-926-8614
Fax Number
Provider Enumeration Date
11/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31245800 05 WI
WI01A7 01 WI JOHN DEERE
390807236B4 01 WI UNITY
12574 01 WV DEAN
institution
Provider Business Practice Location Address Details
Address
420 E Division St
City
State
Zip
54935-4560
Phone Number
920-926-8614
Fax Number
person
Provider Business Mailing Address Details
Address
420 E Division St
City
State
Zip
54935-4560
Phone Number
920-926-8614
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
19796 (Wisconsin)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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