Individual
DAVID LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1582 E 21ST ST, BROOKLYN, NY 11210-5036
(347) 446-1999
Mailing address
1582 E 21ST ST, BROOKLYN, NY 11210-5036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NE
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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