Individual
MR. CHRISTOPHER RYAN LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Mailing address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016634
NY
363A00000X
Physician Assistant
7035
GA
363A00000X
Physician Assistant
Primary
PA14296
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1N6561
MEDICARE
TX
Enumeration date
03/19/2013
Last updated
11/25/2025
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