Provider Demographics
NPI:1760988406
Name:LUTFI, SAMAA (DO)
Entity type:Individual
Prefix:
First Name:SAMAA
Middle Name:
Last Name:LUTFI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5107 FAIRLANE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6001 W OUTER DR STE 121
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-2626
Practice Address - Country:US
Practice Address - Phone:313-966-3222
Practice Address - Fax:313-966-4901
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101025999207R00000X, 207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine