Individual
DR. KEVIN T LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3955 E EXPOSITION AVE, SUITE 104, DENVER, CO 80209-5000
(303) 454-2266
(303) 333-8099
Mailing address
3955 E EXPOSITION AVE, SUITE 104, DENVER, CO 80209-5000
(303) 454-2266
(303) 333-8099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32791
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01073687101
PACIFICARE
CO
01
—
110247940
RAILROAD MEDICARE
CO
01
—
LULK1114
BLUE SHIELD
CO
Enumeration date
07/19/2005
Last updated
09/13/2010
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