Lutz, Stephen George
Lutz, Stephen George is an sole proprietor health care provider with primary practice located at 18315 Cascade Dr Ste 170, Eden Prairie MN 55347-1180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lutz, Stephen George can be contacted via phone (952) 831-1944.Contact Information
Primary practice address
18315 Cascade Dr Ste 170
Eden Prairie MN 55347-1180
Phone: (952) 831-1944
Fax: (952) 278-6947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36819 | Minnesota |
Profile Details
| NPI number | 1518070457 |
|---|---|
| LBN Legal business name | Lutz, Stephen George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1518070457 | NPPES |
| Minnesota | Other | 8T270LU | BC/BS |
| Minnesota | Other | 1200073 | BC/BS |
| Minnesota | Other | FP9021007882 | BC/BS |
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