Organization
LUTZ FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BEAUFORD LUTZ D.D.S (PRESIDENT/DENTIST)
(580) 355-2000
Entity
Organization
Contact information
Practice address
60 N. SHERIDAN, SUITE 7, LAWTON, OK 73505
(580) 355-2000
(580) 351-9792
Mailing address
60 N. SHERIDAN, SUITE 7, LAWTON, OK 73505
(580) 355-2000
(580) 351-9792
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5235
OK
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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