Individual
MR. BEN H LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
245 TERRACINA BLVD STE 106C, REDLANDS, CA 92373-4899
(909) 748-6569
Mailing address
811 WEDGEWOOD CT, RIALTO, CA 92376-8714
(909) 875-8451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14783
CA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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