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NPI Code Detail

MEDICARE: DR. STEPHEN T LUTZ MD

MEDICARE: DR. STEPHEN T LUTZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician35079580LOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12000690OTHEROHUNITED HEALTHCARE
2000000365108OTHEROHANTHEM BCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
45122721OTHEROHAETNA USHC

General Provider Information

NPI Number : 1285611038
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN T LUTZ MD
Provider Business Mailing Address
First Line : PO BOX 330
Second Line :
City : TOLEDO
State : OH
Zip : 43697-0330
Country : US
Telephone Number : 614-430-5712
Fax Number :
Provider Business Practice Location Address
First Line : 15990 MEDICAL DR S
Second Line :
City : FINDLAY
State : OH
Zip : 45840-8894
Country : US
Telephone Number : 419-423-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 08/23/2007

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