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Individual

JOSEPH G LUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
504 HAVENS CORNERS RD, GAHANNA, OH 43230-8104
(614) 533-5300
(614) 533-5350
Mailing address
5400 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4144

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-051000
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0658024
OH
Enumeration date
02/28/2006
Last updated
03/04/2024
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