- He also worked with acclaimed stage director Max Reinhardt.
- He made his stage debut in 1883 when he played the role of Kosinsky in Friedrich Schiller's drama The Robbers.
- In 1912, Lettinger played his first film role in Das Geheimnis von Monte Carlo. Lettinger appeared in over 90 films until 1931, mostly as a supporting actor. His best-known film is perhaps The Cabinet of Dr. Caligari (1920), where Lettinger portrayed Dr. Olsen.
- His screen presence and his intensive performance recommended him for countless big productions of the 20's where he impersonated impressive support roles.
- Some of his more prominent roles in his prestigious stage career were Cyrano de Bergerac and Gessler in William Tell.
- He was married to the stage actress Marie Wendt.
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