Individual
LAWRENCE MICHAEL KUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10494 W THUNDERBIRD BLVD STE 108, SUN CITY, AZ 85351-6122
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE, STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
005052
AZ
208100000X
Physical Medicine & Rehabilitation Physician
005052
AZ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
005052
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333795
—
AZ
Enumeration date
03/30/2007
Last updated
03/29/2024
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