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Individual

MATTHEW B LUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4275 STEELS POINTE, STOW, OH 44224-6841
(330) 923-0399
(330) 923-6677
Mailing address
PO BOX 640, CUYAHOGA FALLS, OH 44222-0640
(330) 923-0399
(330) 923-6677

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
34008363
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2833349
OH
Enumeration date
07/06/2007
Last updated
06/11/2014
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