Individual
DR. PAUL MICHAEL LUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMSC, PA-C
Contact information
Practice address
H100 SANTA MARGARITA ROAD, NAVAL HOSPITAL, CAMP PENDLETON ATTN: CODE 094, CAMP PENDLETON, CA 92055-5191
(760) 725-7029
Mailing address
2419 W SOUTHLAKE BLVD, STE 100, SOUTHLAKE, TX 76092-1506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA20011
CA
363AM0700X
Medical Physician Assistant
Primary
PA11499
TX
Other
Enumeration date
12/09/2008
Last updated
03/27/2020
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