Individual
DR. JOHN STEPHEN LUTZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
Mailing address
1026 N FLOWOOD DR, JACKSON, MS 39232-9532
(844) 824-6605
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
23833
MS
208VP0014X
Interventional Pain Medicine Physician
Primary
23833
MS
Other
Enumeration date
06/30/2011
Last updated
01/09/2023
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