Healthcare Provider Details

I. General information

NPI: 1912588773
Provider Name (Legal Business Name): KATHLEEN LUTCHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 BROOMSEDGE TRL APT 220
CHATTANOOGA TN
37405-1100
US

IV. Provider business mailing address

314 BROOMSEDGE TRL APT 220
CHATTANOOGA TN
37405-1100
US

V. Phone/Fax

Practice location:
  • Phone: 720-320-4583
  • Fax:
Mailing address:
  • Phone: 720-320-4583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number68736
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: