Lutz, Warren A.

Lutz, Warren A. is an individual health care provider with primary practice located at 2000 E Greenville St , Anderson SC 29621-1580. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lutz, Warren A. can be contacted via phone (864) 512-6697.

Contact Information

Primary practice address
2000 E Greenville St Anderson SC 29621-1580
Phone: (864) 512-6697
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 324 South Carolina

Profile Details

NPI number 1750345724
LBN Legal business name Lutz, Warren A.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 9th, 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 1750345724 NPPES
South Carolina MEDICAID AN0220

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