Individual provider · Type 1 NPI

Mark Lutz, PA

Medical Physician Assistant · Indianapolis, IN

NPI number 1235141748 Active

Practice location

5330 E Stop 11 Rd
Indianapolis, IN 46237-6345

Call (317) 893-1900 Map

Fax (317) 893-1901

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10000862A (IN)

Medical Physician Assistant: Definition to come...

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About NPI 1235141748

Mark Lutz, PA's National Provider Identifier is 1235141748, issued on Aug 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 2, 2023.