Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 01076643A | IN |
Y | 208200000X | Surgeon | 01076643A | IN |
Y | 208600000X | Surgeon | 01076643A | IN |
NPI | 1447485768 |
---|---|
Provider Name | Dr. Andrew Joseph Lutz |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-5149 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2009 |
Last Update Date | 21/12/2021 |