Lutz, Charles
Lutz, Charles is an individual health care provider with primary practice located at 800 Rose St # Ms 117 , Lexington KY 40536-0298. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Clinical Pathology. Allopathic & Osteopathic Physicians / Clinical Pathology is his primary health care specialty. Lutz, Charles can be contacted via phone (859) 323-5425.Contact Information
Primary practice address
800 Rose St # Ms 117
Lexington KY 40536-0298
Phone: (859) 323-5425
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 38200 | Kentucky |
| Allopathic & Osteopathic Physicians / Clinical Pathology | 207ZC0006X | 38200 | Kentucky |
Profile Details
| NPI number | 1457316648 |
|---|---|
| LBN Legal business name | Lutz, Charles |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jun 24th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457316648 | NPPES |
| Kentucky | MEDICAID | 64059058 |
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