Individual
LON LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7200 HUDSON BLVD N, STE 135, OAKDALE, MN 55128-7055
(651) 313-8250
(651) 313-8251
Mailing address
600 S CLIFF AVE, STE 106, SIOUX FALLS, SD 57104-5355
(888) 258-0894
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
30820
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952352221
—
MN
Enumeration date
05/12/2006
Last updated
03/23/2017
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