Michael Edward Lutz in Jacksonville - Procedural Dermatology

Michael Edward Lutz - NPI 1982740775

Michael Edward Lutz is a Procedural Dermatology in Jacksonville, Florida. Michael Edward Lutz practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Michael Edward Lutz is 1982740775. The last update date is 2014-01-16.

Michael Edward Lutz's current location address is 4465 Baymeadows Rd, Jacksonville, Florida. You can contact this provider via phone number 9047370111 and fax number 9047374422. The mailing address for Michael Edward Lutz is 4465 Baymeadows Rd, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Edward Lutz
Address 4465 Baymeadows Rd, Jacksonville, Florida
Phone Number 9047370111
Fax Number 9047374422
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1982740775
Provider Enumeration Date 2007-01-29
Last Updated Date 2014-01-16

Provider Mailing Address Detail

Address 4465 Baymeadows Rd
City Jacksonville
State Florida (FL)
Post Code 32217
Phone Number 9047370111
Fax Number 9047374422

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No ME74101
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00137052 RAILROAD MEDICARE
42484 BCBS

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FAQs about Michael Edward Lutz

What is the unique identification code assigned to Michael Edward Lutz by the Centers for Medicare & Medicaid Services?

The Michael Edward Lutz has been issued the NPI (National Provider Identifier) 1982740775. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Michael Edward Lutz's facilities are geographically located?

The facilities of Michael Edward Lutz are physically situated at the following location: 4465 Baymeadows Rd, Jacksonville, FL, 32217.

What is the Michael Edward Lutz's area of specialization and corresponding taxonomy classification?

The Michael Edward Lutz's specialty field is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1982740775 to Michael Edward Lutz?

The Centers for Medicare & Medicaid Services originally issued the 1982740775 to Michael Edward Lutz on 2007-01-29.

When was the Michael Edward Lutz's information last updated?

The Michael Edward Lutz's information was last updated on 2014-01-16.

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