Individual
JAMES D LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 W HIGHWAY 22, SANTO DOMINGO PUEBLO, NM 87052-1283
(505) 465-3060
(505) 591-0304
Mailing address
PO BOX 340, SANTO DOMINGO PUEBLO, NM 87052-0340
(505) 465-3060
(505) 591-0304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20030611
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81883552
—
NM
Enumeration date
10/17/2005
Last updated
08/14/2024
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