Lutz, Roy Winston

Lutz, Roy Winston is an sole proprietor health care provider with primary practice located at 1002 Amherst St Bldg C, Winchester VA 22601-3323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lutz, Roy Winston can be contacted via phone (540) 662-3853.

Contact Information

Primary practice address
1002 Amherst St Bldg C Winchester VA 22601-3323
Fax: (540) 662-0336
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101018655 Virginia

Profile Details

NPI number 1902824022
LBN Legal business name Lutz, Roy Winston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 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 1902824022 NPPES
West Virginia MEDICAID 0106335000

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