Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A103511 | CA |
Y | 2080P0202X | Pediatric Cardiologist | DR.0051896 | CO |
NPI | 1083815914 |
---|---|
Provider Name | Julio Augusto Correa Pinto Lutterbach |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 17/01/2013 |