Individual
DR. DAVID J LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7180 W 107TH ST STE 4, OVERLAND PARK, KS 66212-2523
(913) 303-8240
(417) 312-2517
Mailing address
7180 W 107TH ST STE 4, OVERLAND PARK, KS 66212-2523
(417) 597-4625
(417) 866-1496
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP03120
KS
103TC0700X
Clinical Psychologist
R0201
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496943804
—
MO
Enumeration date
09/30/2005
Last updated
07/15/2024
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