Lutz, Mary K

Lutz, Mary K is an individual health care provider with primary practice located at 6909 Good Samaritan Drive Suite A, Cincinnati OH 45247-5207. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Lutz, Mary K can be contacted via phone (513) 245-5434.

Contact Information

Primary practice address
6909 Good Samaritan Drive Suite A Cincinnati OH 45247-5207
Phone: (513) 245-5434
Fax: (513) 245-5424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT 02038 Ohio

Profile Details

NPI number 1750389904
LBN Legal business name Lutz, Mary K
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Dec 9th, 2013 - about 11 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 1750389904 NPPES
Ohio Other 000000328340 ANTHEM
Ohio MEDICAID 2507086 ANTHEM

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