Individual
DR. CHARLES LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
800 ROSE ST # MS 117, LEXINGTON, KY 40536-0298
(859) 323-5425
Mailing address
800 ROSE ST # MS 117, LEXINGTON, KY 40536-0298
(859) 323-5425
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
38200
KY
207ZC0500X
Cytopathology Physician
38200
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64059058
—
KY
Enumeration date
04/19/2006
Last updated
06/24/2020
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