Provider Demographics
NPI:1215300223
Name:KUTSCHER, LUCY
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:KUTSCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 E COUNTY ROAD 16
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-8932
Mailing Address - Country:US
Mailing Address - Phone:491-448-9428
Mailing Address - Fax:
Practice Address - Street 1:2153 MARION MOUNT GILEAD RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-8990
Practice Address - Country:US
Practice Address - Phone:740-389-0510
Practice Address - Fax:740-389-0565
Is Sole Proprietor?:No
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH031209311835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy