Individual
DR. TRAVIS DUANE LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.020826
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06131
PARAMOUNT
OH
05
—
2057965
—
OH
01
—
9182631
DORAL
OH
Enumeration date
03/23/2007
Last updated
11/04/2020
Update your record
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