Lutz, Evan Andrew

Lutz, Evan Andrew is an individual health care provider with primary practice located at 101 Heart Dr , Greenville NC 27834-8982. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lutz, Evan Andrew can be contacted via phone (252) 744-1378.

Contact Information

Primary practice address
101 Heart Dr Greenville NC 27834-8982
Phone: (252) 744-1378
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2016-01389 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2016-01389 North Carolina

Profile Details

NPI number 1891133930
LBN Legal business name Lutz, Evan Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2013
Last updated Feb 20th, 2024 - about 2 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 1891133930 NPPES
North Carolina MEDICAID 1891133930
North Carolina Other 19QNZ
North Carolina Other NCY300A

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