Lutz, Michael Edward

Lutz, Michael Edward is an individual health care provider with primary practice located at 4465 Baymeadows Rd Suite 5, Jacksonville FL 32217. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Lutz, Michael Edward can be contacted via phone (904) 737-0111.

Contact Information

Primary practice address
4465 Baymeadows Rd Suite 5 Jacksonville FL 32217
Phone: (904) 737-0111
Fax: (904) 737-4422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME74101 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME74101 Florida

Profile Details

NPI number 1982740775
LBN Legal business name Lutz, Michael Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jun 28th, 2024 - about 5 months 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 1982740775 NPPES
Other 42484 BCBS

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