Organization
EASTERN WOODS RADIATION ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN T LUTZ MD (PRESIDENT)
(419) 423-3703
Entity
Organization
Contact information
Practice address
15990 MEDICAL DR S, FINDLAY, OH 45840-8894
(419) 423-4500
(419) 427-0212
Mailing address
PO BOX 330, TOLEDO, OH 43697-0330
(614) 430-5712
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2401921
—
OH
01
—
DA1414
MEDICARE RAILROAD
—
Enumeration date
06/24/2006
Last updated
07/20/2015
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