Individual
DR. THOMAS ALLEN LUTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2200 GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Mailing address
1548 FOUNTAIN DR., LAWRENCE, KS 66047-9306
(785) 843-1245
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1555
KS
152W00000X
Optometrist
1779
IA
152W00000X
Optometrist
1885
WI
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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