MARK LUTZ

INDIANAPOLIS, IN
NPI1235141748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IN  10000862A)
Enumeration Date2006-08-13
Last Update Date2023-06-02
Business Address
MARK LUTZ PA
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237-6345
Phone number: 317-893-1900
Mailing Address
MARK LUTZ PA
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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