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Mr. Kyle A Lutz, PA
Surgical Physician Assistant in Evansville, Indiana
NPI 1568550804

Kyle A Lutz is a Surgical Physician Assistant based in Evansville, IN and is specialized in Surgical. Kyle A Lutz practices in Evansville, IN and has the professional credentials of PA. The NPI Number for Kyle A Lutz is 1568550804 and holds a License No. 10000720A (Indiana).

The current practice location address for Kyle A Lutz is 520 Mary St Ste 520, Evansville, IN and can be reached out via phone at 812-424-8231 and via fax at 812-435-8794. You can also correspond with Kyle A Lutz through the mailing address at 520 MARY ST, EVANSVILLE, IN - 47710-1682 (mailing address contact number: 812-424-8231).

Location: 520 Mary St Ste 520, Evansville, IN, 47710-1682
person
Provider Profile Details
NPI Number
1568550804
Provider Name
Kyle A Lutz
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
520 Mary St Ste 520, Evansville, IN, 47710-1682
Phone Number
812-424-8231
Fax Number
812-435-8794
Provider Enumeration Date
10/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000335308 01 ANTHEM BCBS
100000720 01 IN INDIANA STATE LICENSE
300007791 05 IN
9500485900 05 KY
institution
Provider Business Practice Location Address Details
Address
520 Mary St Ste 520
City
State
Zip
47710-1682
Phone Number
812-424-8231
Fax Number
812-435-8794
person
Provider Business Mailing Address Details
Address
520 Mary St Ste 520
City
State
Zip
47710-1682
Phone Number
812-424-8231
Fax Number
812-435-8794
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
10000720A (Indiana)
Definition
Definition to come...
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