Individual
DR. LINDA LOUISE LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
419 W REDWOOD ST, SUITE 160, BALTIMORE, MD 21201-1734
(410) 328-3167
(410) 328-1323
Mailing address
PO BOX 64445, BALTIMORE, MD 21264-4445
(410) 328-5767
(410) 328-0098
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D26019
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33122003
CAREFIRST OF MD
MD
05
—
793291000
—
MD
01
—
S045-0005
BLUE SHIELD FEDERAL
DC
Enumeration date
06/04/2006
Last updated
07/07/2010
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