Lutz, Fredrick Brown
Lutz, Fredrick Brown is an individual health care provider with primary practice located at 1541 Medical Dr , Tallahassee FL 32308-4615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lutz, Fredrick Brown can be contacted via phone (850) 431-7801.Contact Information
Primary practice address
1541 Medical Dr
Tallahassee FL 32308-4615
Phone: (850) 431-7801
Fax: (850) 431-7809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME58245 | Florida |
Profile Details
| NPI number | 1144294034 |
|---|---|
| LBN Legal business name | Lutz, Fredrick Brown |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jun 15th, 2016 - about 8 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 | 1144294034 | NPPES |
| Florida | MEDICAID | 267032100 |
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