Lutz, Melinda Ann

Lutz, Melinda Ann is an individual health care provider with primary practice located at 286 Hermosa St , Pagosa Springs CO 81147-1809. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lutz, Melinda Ann can be contacted via phone (970) 264-4300.

Contact Information

Primary practice address
286 Hermosa St Pagosa Springs CO 81147-1809
Phone: (970) 264-4300
Fax: (970) 264-4400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1501 Colorado

Profile Details

NPI number 1437115235
LBN Legal business name Lutz, Melinda Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1437115235 NPPES
Colorado MEDICAID 08015018

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