Individual
DR. SHAWN CONRAD LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2955 N HWY 97 STE 100, BEND, OR 97703-7559
(458) 206-6123
(541) 600-4731
Mailing address
2955 N HWY 97 STE 100, BEND, OR 97703-7559
(458) 206-6123
(541) 600-4731
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4064
OR
111N00000X
Chiropractor
CHIR.CH.60226450
WA
111NS0005X
Sports Physician Chiropractor
Primary
4064
OR
Other
Enumeration date
02/11/2011
Last updated
03/17/2018
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