Individual
DR. RONALD LEE LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4103 S TEXAS AVE, SUITE 203, BRYAN, TX 77802-4040
(979) 361-7907
(979) 846-6557
Mailing address
4103 S TEXAS AVE, SUITE 203, BRYAN, TX 77802-4040
(979) 361-7907
(979) 846-6557
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2-4098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P10P
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
08/12/2006
Last updated
07/08/2007
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