Shannon K Lutz, PA-C
Physician Assistant, Medical in Sewell, New Jersey
1275043705- Practice location
- 150 Delsea Dr Ste B, Sewell, NJ 08080-9478
- Phone
- 856-302-0500
- Fax
- —
- Last updated
- June 15, 2022
Shannon Kirby Lutz is a Physician Assistant, Medical based in Sewell, NJ. Shannon Kirby Lutz practices in Sewell, NJ and has the professional credentials of PA-C. The NPI Number for Shannon Kirby Lutz is 1275043705 and holds a License No. MA059371 (PA). The current practice location address for Shannon Kirby Lutz is 150 Delsea Dr Ste B, Sewell, NJ 08080-9478 and can be reached out via phone at 856-302-0500.
Provider Profile Details
- NPI Number
- 1275043705
- Provider Name
- Shannon Kirby Lutz
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 150 Delsea Dr Ste B, Sewell, NJ 08080-9478
- Phone Number
- 856-302-0500
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 11, 2017
- Last Update Date
- June 15, 2022
- Certification Date
- June 15, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 150 Delsea Dr Ste B
Sewell, NJ 08080-9478 - City
- Sewell
- State
- New Jersey
- Zip
- 08080-9478
- Phone Number
- 856-302-0500
Provider Business Mailing Address Details
- Address
- 401 Route 73 N Ste 320
Marlton, NJ 08053-3426 - City
- Marlton
- State
- NJ
- Zip
- 08053-3426
License Information
- License Number (1)
- MA059371
- License State (1)
- PA
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 25MP00463000
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shannon K Lutz, PA-C?
The NPI number of Shannon K Lutz, PA-C is 1275043705. It was assigned on October 11, 2017 and is currently active in the NPPES registry.
What is the specialty of Shannon K Lutz, PA-C?
Shannon K Lutz, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in PA under license number MA059371.
Where does Shannon K Lutz, PA-C practice?
The practice location is 150 Delsea Dr Ste B, Sewell, NJ 08080-9478. The office can be reached at 856-302-0500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275043705 directly on the NPPES registry website.