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Mr. Joseph Lutz, PA-C
Medical Physician Assistant in Ronceverte, West Virginia
NPI 1114945599

Joseph Lutz is a Medical Physician Assistant based in Ronceverte, WV and is specialized in Medical. Joseph Lutz practices in Ronceverte, WV and has the professional credentials of PA-C. The NPI Number for Joseph Lutz is 1114945599 and holds a License No. 536 (West Virginia).

The current practice location address for Joseph Lutz is 200 Maplewood Ave, Ronceverte, WV and can be reached out via phone at 304-647-1148 and via fax at 304-793-2208.

Location: 200 Maplewood Ave, Ronceverte, WV, 24970-1334
person
Provider Profile Details
NPI Number
1114945599
Provider Name
Joseph Lutz
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
200 Maplewood Ave, Ronceverte, WV, 24970-1334
Phone Number
304-647-1148
Fax Number
304-793-2208
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970003810 01 WV CIGNA
48/47 01 WV MTST BCBS
institution
Provider Business Practice Location Address Details
Address
200 Maplewood Ave
City
State
Zip
24970-1334
Phone Number
304-647-1148
Fax Number
304-793-2208
person
Provider Business Mailing Address Details
Address
200 Maplewood Ave
City
State
Zip
24970-1334
Phone Number
304-647-1148
Fax Number
304-793-2208
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
536 (West Virginia)
Definition
Definition to come...
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