Individual
ALLEN LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544-5060
(254) 553-0627
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0102205932
VA
207L00000X
Anesthesiology Physician
Primary
U4253
TX
Other
Enumeration date
05/09/2018
Last updated
04/07/2026
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