Individual
STANLEY N LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
182 PARK AVE, AMHERST, OH 44001-2230
(440) 988-4419
(440) 988-8020
Mailing address
182 PARK AVE, AMHERST, OH 44001-2230
(440) 988-4419
(440) 988-8020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2734T1057
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
580001592
RAILROAD MEDICARE
—
01
—
OH2734
EYEMED
—
Enumeration date
10/18/2005
Last updated
09/14/2010
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