Lutz, Roland Bruce

Lutz, Roland Bruce is an individual health care provider with primary practice located at 1 Medical Center Blvd Ccmc Pobii Ste 324, Upland PA 19013-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lutz, Roland Bruce can be contacted via phone (610) 876-0347.

Contact Information

Primary practice address
1 Medical Center Blvd Ccmc Pobii Ste 324 Upland PA 19013-3902
Phone: (610) 876-0347
Fax: (610) 876-3788
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD030725E Pennsylvania

Profile Details

NPI number 1417903188
LBN Legal business name Lutz, Roland Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 16th, 2007 - about 19 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 1417903188 NPPES
Pennsylvania MEDICAID 1282594

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