Provider Demographics
NPI:1205906765
Name:LUTGENS, LILI SOLINGER (LCSW)
Entity type:Individual
Prefix:MS
First Name:LILI
Middle Name:SOLINGER
Last Name:LUTGENS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4303 EMERALD WAY
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-9330
Mailing Address - Country:US
Mailing Address - Phone:502-762-6258
Mailing Address - Fax:812-948-2057
Practice Address - Street 1:4303 EMERALD WAY
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-9330
Practice Address - Country:US
Practice Address - Phone:502-762-6258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-14691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical