Active NPIIndividual provider

Dr. Connie M Lutkevich, MD

Surgery in Augusta, Maine

NPI Number1972552412
Practice location
35 Medical Center Pkwy, Augusta, ME 04330-8160
Fax
207-622-4085
Last updated
August 24, 2021

Connie M Lutkevich is a Surgery based in Augusta, ME. Connie M Lutkevich practices in Augusta, ME and has the professional credentials of MD. The NPI Number for Connie M Lutkevich is 1972552412 and holds a License No. 45784 (MN). The current practice location address for Connie M Lutkevich is 35 Medical Center Pkwy, Augusta, ME 04330-8160 and can be reached out via phone at 207-621-4680 and via fax at 207-622-4085.

Provider Profile Details

NPI Number
1972552412
Provider Name
Connie M Lutkevich
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
35 Medical Center Pkwy, Augusta, ME 04330-8160
Phone Number
207-621-4680
Fax Number
207-622-4085
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
May 10, 2006
Last Update Date
August 24, 2021
Certification Date
August 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Medical Center Pkwy
Augusta, ME 04330-8160
State
Maine
Zip
04330-8160
Phone Number
207-621-4680
Fax Number
207-622-4085
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
35 Medical Center Pkwy
Augusta, ME 04330-8160
City
Augusta
State
ME
Zip
04330-8160
Phone Number
207-621-4680
Fax Number
207-622-4085

License Information

License Number (1)
45784
License State (1)
MN
Taxonomy (1)
Surgery · 208600000X
License Number (2)
MD24966
License State (2)
ME
Taxonomy (2)
Surgery · 208600000X · 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 Dr. Connie M Lutkevich, MD?

The NPI number of Dr. Connie M Lutkevich, MD is 1972552412. It was assigned on May 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Connie M Lutkevich, MD?

Dr. Connie M Lutkevich, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MN under license number 45784.

Where does Dr. Connie M Lutkevich, MD practice?

The practice location is 35 Medical Center Pkwy, Augusta, ME 04330-8160. The office can be reached at 207-621-4680 (phone) or 207-622-4085 (fax).

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 1972552412 directly on the NPPES registry website.

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