Individual
ANDREW GARDNER LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-5645
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142Y3
BCBS
NC
01
—
199318
MEDCOST
NC
01
—
5025563
CIGNA
NC
05
—
5904432
—
NC
01
—
809945
PARTNERS
NC
01
—
P00409583
RAILRAOD-MEDICARE
NC
Enumeration date
07/27/2006
Last updated
01/15/2008
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