Individual
DR. DAVID ROBERT LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3326 SW 4TH PLACE, CAPE CORAL, FL 33914
(502) 386-9385
Mailing address
3026 SW 4TH PL, CAPE CORAL, FL 33914-4595
(502) 386-9385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4667
KY
111N00000X
Chiropractor
CH12511
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2735025000
PASSPORT ADVANTAGE
KY
01
—
50011059
PASSPORT
KY
05
—
85002319
—
KY
01
—
9989010
CIGNA PAL
KY
01
—
P00428704
PALMETTO RAILROAD MEDICARE
KY
Enumeration date
06/20/2006
Last updated
07/23/2018
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