Healthcare Provider Details

I. General information

NPI: 1003735325
Provider Name (Legal Business Name): CALEB LUTZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 N ALMA SCHOOL RD
CHANDLER AZ
85224-4363
US

IV. Provider business mailing address

930 E CAMPINA LN
LITCHFIELD PARK AZ
85340-4238
US

V. Phone/Fax

Practice location:
  • Phone: 480-573-6325
  • Fax:
Mailing address:
  • Phone: 623-419-3061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: