Individual
DAVID J. LUTZ
Active
Individual
DAVID J. LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01057270A
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
01057270A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200423930
—
IN
05
—
2386323
—
OH
01
—
250014246
RR MEDICARE
IN
05
—
4835821
—
MI
01
—
P00206255
RR MEDICARE
IN
Enumeration date
06/30/2005
Last updated
08/29/2017
Update your record
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