Active NPIIndividual provider

Kevan Lutchman, MD

Preventive Medicine, Occupational Medicine in Somerville, Massachusetts

NPI Number1356872170
Practice location
5 Middlesex Ave, Somerville, MA 02145-1102
Fax
—
Last updated
September 20, 2023

Kevan Lutchman is a Preventive Medicine, Occupational Medicine based in Somerville, MA. Kevan Lutchman practices in Somerville, MA and has the professional credentials of MD. The NPI Number for Kevan Lutchman is 1356872170 and holds a License No. S6680 (TX). The current practice location address for Kevan Lutchman is 5 Middlesex Ave, Somerville, MA 02145-1102 and can be reached out via phone at 617-591-4660.

Provider Profile Details

NPI Number
1356872170
Provider Name
Kevan Lutchman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5 Middlesex Ave, Somerville, MA 02145-1102
Phone Number
617-591-4660
Primary Taxonomy
Preventive Medicine, Occupational Medicine · 2083X0100X
Sole Proprietor
No
Provider Enumeration Date
March 23, 2017
Last Update Date
September 20, 2023
Certification Date
September 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Middlesex Ave
Somerville, MA 02145-1102
Zip
02145-1102
Phone Number
617-591-4660
Somerville, MA 02145Get directions →

Provider Business Mailing Address Details

Address
201 Long Canyon CT
Richardson, TX 75080-2669
City
Richardson
State
TX
Zip
75080-2669
Phone Number
469-237-5893

License Information

License Number (1)
S6680
License State (1)
TX
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (3)
1014847
License State (3)
MA
Taxonomy (3)
Preventive Medicine, Occupational Medicine · 2083X0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kevan Lutchman, MD?

The NPI number of Kevan Lutchman, MD is 1356872170. It was assigned on March 23, 2017 and is currently active in the NPPES registry.

What is the specialty of Kevan Lutchman, MD?

Kevan Lutchman, MD is registered under the primary taxonomy Preventive Medicine, Occupational Medicine (code 2083X0100X), licensed in TX under license number S6680.

Where does Kevan Lutchman, MD practice?

The practice location is 5 Middlesex Ave, Somerville, MA 02145-1102. The office can be reached at 617-591-4660 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356872170 directly on the NPPES registry website.

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