Lutz, Steven

Lutz, Steven is an individual health care provider with primary practice located at 8669 Eagle Point Blvd , Lake Elmo MN 55042-8628. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lutz, Steven can be contacted via phone (651) 379-0444.

Contact Information

Primary practice address
8669 Eagle Point Blvd Lake Elmo MN 55042-8628
Fax: (651) 379-0448
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4421 Minnesota

Profile Details

NPI number 1881684777
LBN Legal business name Lutz, Steven
Credentials PSY.D., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Dec 23rd, 2011 - about 13 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 1881684777 NPPES
Minnesota Other 463725 VALUE OPTIONS
Minnesota Other 468166000 VALUE OPTIONS
Minnesota Other 336R2LU VALUE OPTIONS
Minnesota MEDICAID 450620100 VALUE OPTIONS
Minnesota Other HP55874 VALUE OPTIONS
Minnesota Other 172007 VALUE OPTIONS
Minnesota Other 55042A004 VALUE OPTIONS

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