Individual
PAUL LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
A66 COURTHOUSE BAY ROAD, CAMP LEJEUNE, NC 28542
(910) 440-7704
Mailing address
PSC BOX 20116, CAMP LEJEUNE, NC 28542
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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