NPI 1114945599

Joseph Lutz, PAC

Practitioner Medical Physician Assistant Ronceverte, WV

Practice location

Address: 200 Maplewood Ave, Ronceverte, WV 24970-1334
Phone: (304) 647-1148
Fax: (304) 793-2208

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 536 (WV)

Other Physician Assistant providers in West Virginia →

Registry record

NPI: 1114945599
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2006
Record last updated: 12 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.