Individual
DR. CHARLES K. LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
985 BERKSHIRE BLVD, STE 101, WYOMISSING, PA 19610-1268
(610) 374-5599
(610) 288-8075
Mailing address
985 BERKSHIRE BLVD, STE 101, WYOMISSING, PA 19610-1268
(610) 374-5599
(610) 288-8075
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD035112E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011631270003
—
PA
01
—
01695001
CAPITAL BLUE CROSS
PA
01
—
0178694
KEYSTONE HP CENTRAL
PA
01
—
0278639000
INDEPENDENCE BLUE CROSS
PA
01
—
0901012001
CIGNA
PA
01
—
178694
HIGHMARK BLUE SHIELD
PA
01
—
30717C
AMERIHEALTH MERCY
PA
01
—
57329
AETNA
PA
Enumeration date
07/18/2005
Last updated
01/20/2021
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