Lutz, Patricia A

Lutz, Patricia A is an individual health care provider with primary practice located at 2915 3Rd Ave , Huntington WV 25702-1401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lutz, Patricia A can be contacted via phone (304) 691-8900.

Contact Information

Primary practice address
2915 3Rd Ave Huntington WV 25702-1401
Phone: (304) 691-8900
Fax: (304) 525-6238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18650 West Virginia

Profile Details

NPI number 1558325571
LBN Legal business name Lutz, Patricia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Dec 28th, 2021 - about 3 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 1558325571 NPPES
Kentucky MEDICAID 64941750
Kentucky MEDICAID 2021485
Kentucky MEDICAID 0110857000

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