Individual
MRS. AMBER D LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1202 W BUENA VISTA RD., SUITE #100, EVANSVILLE, IN 47710-5185
(812) 429-1520
(812) 429-1523
Mailing address
1202 W BUENA VISTA RD., SUITE # 100, EVANSVILLE, IN 47710-5185
(812) 429-1520
(812) 429-1523
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085002198
IL
363A00000X
Physician Assistant
Primary
10000657A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970010159
MEDICARE RAILROAD
OH
Enumeration date
06/28/2005
Last updated
03/14/2014
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