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
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1891133930 | NPPES |
North Carolina | MEDICAID | 1891133930 | |
North Carolina | Other | 19QNZ | |
North Carolina | Other | NCY300A |
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