Individual
AUSTIN T LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Mailing address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35368
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0366100001
CIGNA GOVERNMENT SVC PTAN
—
05
—
191423
—
AL
Enumeration date
06/12/2008
Last updated
01/05/2017
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