Organization
DR STEVEN LUTZ & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P. LUTZ OD. (OWNER /OPTOMETRIST)
(734) 769-2909
Entity
Organization
Contact information
Practice address
1565 EASTOVER PL, ANN ARBOR, MI 48104
(734) 769-2909
(734) 929-4142
Mailing address
1565 EASTOVER PLACE, ANN ARBOR, MI 48104
(734) 769-2909
(734) 929-4142
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002919
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H16509
BLUE CROSS
—
05
—
4829010
—
MI
01
—
900H165090
BLUE SHIELD
—
Enumeration date
10/19/2007
Last updated
10/01/2015
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