NPI 1114969383

David A. Lutz, PAC

Practitioner Physician Assistant Dickson, TN

Practice location

Address: 111 Highway 70 E, Dickson, TN 37055-2080
Phone: (615) 512-8391
Mailing address: 9302 Hurricane Creek Rd, Mc Ewen, TN 37101-4332

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 702 (TN)

Other Physician Assistant providers in Tennessee →

Registry record

NPI: 1114969383
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2006
Record last updated: 21 Feb 2018

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.