DR. ALEXANDRIA LYNN LUTLEY


Address: 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874
Phone: (414) 266-3464

DR. ALEXANDRIA LYNN LUTLEY (NPI# 1699036129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699036129
Entity Type Individual
Full Name DR. ALEXANDRIA LYNN LUTLEY
Credential M.D.
Practice Address 9000 W Wisconsin Ave
Milwaukee
WI 53226-4874
Practice Telephone (414) 266-3464
Practice Fax Number 4142663466
Mailing Telephone (414) 266-3464
Mailing Fax Number 4142663466
Enumeration Date 2012-05-31
Last Update Date 2017-07-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
67630 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 9000 W WISCONSIN AVE
City MILWAUKEE
State WI
Zip Code 53226-4874

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568466928 Deborah Costakos Ophthalmology 9000 W Wisconsin Ave, Pediatric Ophthalmology, Milwaukee, WI 53226-4874 2005-06-13
1477154748 Tara Anne Peloza Registered Nurse 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-11-04
1518567676 Carolyn Mcnally Scoptur Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-10-28
1053910091 Casey Wolter Audiologist 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-10-21
1558976001 Rachel Sawdy Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-09-11
1205441128 Kathleen Maloney Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-09-09
1992319065 Mariia Steffeny Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-09-04
1871106575 Elisabeth Mary Vogt Clinical Neuropsychologist 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-08-24
1912517277 Theresa Lauer Kapke Psychologist 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-08-03
1003425380 Khira Ahmed-yahia Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-07-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
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Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376963694 Shannon C Pollock Psychiatry & Neurology 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2014-04-25
1972947224 Samuel J Adams Psychiatry & Neurology 9000 W Wisconsin Ave, Milwaukee, WI 53226 2013-04-17
1942597356 Lileth Joy Mondok Psychiatry & Neurology 9000 W Wisconsin Avenue, Pediatric Neurology, Milwaukee, WI 53226-4874 2011-07-06
1144532052 Raquel Farias-moeller Psychiatry & Neurology 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2010-07-08
1801002092 Delphin Sallowm Psychiatry & Neurology 9000 W Wisconsin Ave, Pediatric Neurology, Milwaukee, WI 53226-4874 2007-05-15
1053335513 Hema U Patel Psychiatry & Neurology 9000 W Wisconsin Ave, Pediatric Neurology, Milwaukee, WI 53226-4874 2006-07-27
1366472524 Edward H. Kovnar Psychiatry & Neurology 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 2006-07-04
1508808759 Michael Hammer Psychiatry & Neurology 9000 W Wisconsin Ave, Pediatric Neurology, Milwaukee, WI 53226-4874 2006-06-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063779601 Kumar R Sannagowdara Psychiatry & Neurology 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 2012-04-20
1659443620 Dorota Halina Telega Psychiatry & Neurology N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 2006-11-14
1063592301 Sergio Facchini Psychiatry & Neurology 600 Highland Ave, Madison, WI 53792-0001 2006-10-17
1003912346 Richard V Colan Psychiatry & Neurology 8825 S Howell Ave, Suite 101, Oak Creek, WI 53154-3760 2006-09-15
1407895428 Mary K Dominski Psychiatry & Neurology 700 S Park St, Madison, WI 53715-1830 2006-06-05
1518961366 John Peter Temple Psychiatry & Neurology 1836 South Ave, La Crosse, WI 54601-5429 2005-06-09

Competitor

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City MILWAUKEE
Zip Code 53226

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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