Individual
JOHN L LUTZ
Active
Individual
JOHN L LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02002752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000505165
ANTHEM
IN
05
—
2004844950
—
IN
05
—
200484950A
—
IN
01
—
351972384-038
TRICARE
IN
01
—
7450536
AETNA
IN
01
—
9472582
CIGNA
IN
01
—
P00436998
RAILROAD MEDICARE
IN
Enumeration date
05/24/2005
Last updated
09/29/2009
Update your record
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