Doctor Name: | MATTHEW B LUTZ |
NPI Number: | 1104024595 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 34008363 |
Business Practice Address: | 4275 Steels Pointe Stow, OH - 442246841 |
Business Phone Number: | 3309230399 |
Business Fax Number: | 3309236677 |
Mailing Address: | Po Box 640, CUYAHOGA FALLS |
State: | OH |
Postal Code: | 442220640 |
Phone Number: | 3309230399 |
Fax Number: | 3309236677 |
NPI Enumeration Date: | 07/06/2007 |
NPI Last Update Date: | 06/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | 34008363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |