Healthcare Provider Details

I. General information

NPI: 1285542597
Provider Name (Legal Business Name): JOHN HESS LUTZ III
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 734
CLAYMONT DE
19703-0734
US

IV. Provider business mailing address

PO BOX 734
CLAYMONT DE
19703-0734
US

V. Phone/Fax

Practice location:
  • Phone: 302-793-9330
  • Fax:
Mailing address:
  • Phone: 302-793-9330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberNA
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: