MEDICARE: LINDA ANN LUTZ, M.D.,P.A.

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
1	207L00000X	Anesthesiology Physician	D9553	TX

General Provider Information

NPI Number	:	1730478405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA ANN LUTZ, M.D.,P.A.

Provider Business Mailing Address
First Line	:	4505 CHAPEL HILL RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-1908
Country	:	US
Telephone Number	:	214-828-2285
Fax Number	:

Provider Business Practice Location Address
First Line	:	4505 CHAPEL HILL RD.
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-1908
Country	:	US
Telephone Number	:	214-828-2285
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LINDA ANN LUTZ
Credential	:	M.D.
Telephone Number	:	214-828-2285

Provider Enumeration Date	:	04/04/2011
Last Update Date	:	04/04/2011

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