# LUTZ FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265700405
- **Authorized official:** DR. JAMES BEAUFORD LUTZ D.D.S (PRESIDENT/DENTIST)
- **Authorized official phone:** (580) 355-2000

## Contact information

- **Practice address:** 60 N. SHERIDAN, SUITE 7, LAWTON, OK 73505
- **Practice address phone:** (580) 355-2000
- **Practice address fax:** (580) 351-9792
- **Mailing address:** 60 N. SHERIDAN, SUITE 7, LAWTON, OK 73505
- **Mailing address phone:** (580) 355-2000
- **Mailing address fax:** (580) 351-9792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5235 | OK | Yes |

## Other

- **Enumeration date:** 12/02/2011
- **Last updated:** 12/02/2011
