Individual
DR. ROLAND BRUCE LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, CCMC POBII STE 324, UPLAND, PA 19013-3902
(610) 876-0347
(610) 876-3788
Mailing address
1 MEDICAL CENTER BLVD, CCMC POBII STE 324, UPLAND, PA 19013-3902
(610) 876-0347
(610) 876-3788
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD030725E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1282594
—
PA
Enumeration date
05/25/2006
Last updated
07/16/2007
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