Samantha Lynn Lutz, L.M.P.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60124745 Issued in WA

Practice address

2006 Main St
Vancouver, WA 98660-2637

Phone

(360) 906-0826

Fax

(360) 906-7131

NPI assigned

Jan 14, 2010

Last updated

Jan 14, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Luminous Massage & Body Work

  • Preferred Provider Organization
  • Vancouver, WA
  • NPI 1366988495
  NPD (past)
• RR&T, Inc

  dba Main Street Day Spa

  • Specialist
  • Vancouver, WA
  • NPI 1609033059
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1205167251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602637",
            "telephone_number": "360-906-0826",
            "fax_number": "360-906-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602637",
            "telephone_number": "360-906-0826",
            "fax_number": "360-906-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60124745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Lusky, L.I.C.S.W.
• Sierra Luster
• Lutheran Community Services Northwest
• Mackenna Luttrell, LMP
• Rebecca Luttrell
• Cynthia Luu, DPM
• Huong The Luu, MD
• Luxottica of America Inc. (Lenscrafters #818)
• Luxottica Retail North America Inc (Sears Optical #0603)
• Samantha Nafula Lwali-Welsh

• Specialist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.