Provider Demographics
NPI:1346533866
Name:LUTTIG, CHRISTOPHER T (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:T
Last Name:LUTTIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 E CARY ST
Mailing Address - Street 2:APT 304
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7822
Mailing Address - Country:US
Mailing Address - Phone:678-592-6659
Mailing Address - Fax:
Practice Address - Street 1:2300 E CARY ST
Practice Address - Street 2:APT 304
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-7822
Practice Address - Country:US
Practice Address - Phone:678-592-6659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101253437207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine