Lutz, Jon E

Lutz, Jon E is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Lutz, Jon E can be contacted via phone (541) 382-2811.

Contact Information

Primary practice address
1501 Ne Medical Center Dr Bend OR 97701-6051
Phone: (541) 382-2811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G53950 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G53950 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD29015 Oregon

Profile Details

NPI number 1740385426
LBN Legal business name Lutz, Jon E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Apr 12th, 2013 - about 12 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 1740385426 NPPES
California MEDICAID 770460211
California Other 00834442
California MEDICAID 500605415

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