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1215900196
KIRK JOSEPH LUETKEHANS
LOS ANGELES, CA
NPI
1215900196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A68177)
Enumeration Date
2006-02-09
Last Update Date
2021-11-29
Business Address
KIRK JOSEPH LUETKEHANS MD
5971 VENICE BLVD
LOS ANGELES, CA 90034-1713
Phone number: 323-857-2548
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Mailing Address
KIRK JOSEPH LUETKEHANS MD
393 E WALNUT ST FL 3 PHR GROUP PROVIDER ENROLLMENT UNIT
PASADENA, CA 91188-0001
Phone number: 877-608-0044
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