Organization
DAVID LUTZ PHYSICIAN ASSISTANT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LUTZ PA (OWNER)
(347) 446-1999
Entity
Organization
Contact information
Practice address
945 BROADWAY, WOODMERE, NY 11598
(347) 446-1999
(623) 374-4592
Mailing address
3650 LONG BEACH RD # 1009, OCEANSIDE, NY 11572-5705
(347) 446-1999
(623) 374-4592
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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