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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457316648 NPPES
Kentucky MEDICAID 64059058

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