Organization
STANLEY N LUTZ OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC G STOCKER OD (PRESIDENT)
(440) 988-4419
Entity
Organization
Contact information
Practice address
182 PARK AVE, AMHERST, OH 44001-2230
(440) 988-4419
(440) 988-8020
Mailing address
182 PARK AVE, AMHERST, OH 44001-2230
(440) 988-4419
(440) 988-8020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR0497
RAILRAOD MEDICARE
OH
Enumeration date
10/20/2005
Last updated
12/01/2011
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