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NPI Code Detail

MEDICARE: DR. JAY ALLAN LUTINS M.D.

MEDICARE: DR. JAY ALLAN LUTINS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician16732WV
2208800000XUrology PhysicianMD039287EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396740163
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAY ALLAN LUTINS M.D.
Provider Business Mailing Address
First Line : 1000 BOWER HILL ROAD
Second Line : ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
City : PITTSBURGH
State : PA
Zip : 15243-1873
Country : US
Telephone Number : 412-924-2548
Fax Number :
Provider Business Practice Location Address
First Line : 1145 BOWER HILL RD STE 105
Second Line :
City : PITTSBURGH
State : PA
Zip : 15243-1346
Country : US
Telephone Number : 412-579-6194
Fax Number : 412-572-6195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/04/2021

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