| Doctor Name: | SEAN LUTMER |
| NPI Number: | 1396087946 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | |
| Business Practice Address: | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, TX - 78234 |
| Business Phone Number: | 2105132978 |
| Business Fax Number: | |
| Mailing Address: | 9410 Pine Arbor, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782545684 |
| Phone Number: | 9032534525 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2013 |
| NPI Last Update Date: | 07/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |