| Lutti Penton, MD | |
|
420 E Division St, Fond Du Lac, WI 54935-4560 | |
| (920) 926-8614 | |
| Not Available |
| Full Name | Lutti Penton |
|---|---|
| Gender | Male |
| Speciality | Surgery - Plastic And Reconstructive Surgery |
| Location | 420 E Division St, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073595120 | NPI | - | NPPES |
| 31245800 | Medicaid | WI | |
| WI01A7 | Other | WI | JOHN DEERE |
| 390807236B4 | Other | WI | UNITY |
| 12574 | Other | WV | DEAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 19796 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lutti Penton, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Lutti Penton, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8614 |
Christopher A Nervi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8485 | |
Jon T Moen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-5760 | |
Donald F Vanbeek, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Ste #265, Fond Du Lac, WI 54935 Phone: 920-907-7400 Fax: 920-907-7401 | |
Joanne F Pasiuk, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8485 | |
Richard B Schaefer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8614 | |
Thomas J Carlson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 145 N Main St, Fond Du Lac, WI 54935 Phone: 920-926-8492 |