Individual
DR. TRAVIS B LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1725 HARRODSBURG RD, SUITE 100, LEXINGTON, KY 40504-3601
(859) 278-7226
(829) 276-1540
Mailing address
1625 NICHOLASVILLE RD APT 804, LEXINGTON, KY 40503-1484
(513) 515-1100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39841
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100050750
—
KY
Enumeration date
01/03/2007
Last updated
12/02/2009
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