# EVAN ANDREW LUTZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891133930
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2016-01389 | NC | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 2016-01389 | NC | — |

## Other

- **Enumeration date:** 06/11/2013
- **Last updated:** 02/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1891133930 | — | NC |
| 01 | — | 19QNZ | BCBS | NC |
| 01 | — | NCY300A | MEDICARE | NC |