Healthcare Provider Details
I. General information
NPI: 1750290037
Provider Name (Legal Business Name): JOSHUA ROBERT LUTZ PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 HOSPITAL WAY
BUTLER PA
16001-4670
US
IV. Provider business mailing address
1 HOSPITAL WAY
BUTLER PA
16001-4670
US
V. Phone/Fax
- Phone: 724-283-6666
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: