Individual
DR. CHARLES K. LUTZ
Active
Individual
DR. CHARLES K. LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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