Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN CHARLES LUTTA, M.D.
ActiveDR. KEVIN CHARLES LUTTA, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in HERNDON, Virginia. NPI 1902063092 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · HERNDON, VA
Registration Details
- NPI Number
- 1902063092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2008 (18.289698866258 yrs)
- Last Updated
- Jun 29, 2015
- License
-
01011247618 (VA)
Practice Information
- Address
-
13350 FRANKLIN FARM ROADSUITE 220HERNDON, VA, 201714095Browse VA providers · Browse ZIP 20171
- Phone
- 7038105204
- Fax
- 7038105411
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.