Nathan Lutz, RT(R)(MR)(CT)
Individual provider Active NPI Computed Tomography Radiologic Technologist · Harrisburg, SD
NPI 1336698232 · NPPES record last updated Oct 3, 2016
Key facts
- NPI
- 1336698232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Computed Tomography Radiologic Technologist 2471C3401X
- License
- 386548 (SD)
- Practice address
- 806 Honeysuckle Dr
Harrisburg, SD 57032-2312 - Phone
- (605) 848-5889
- NPI assigned
- Oct 3, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 386548 | SD | MD | Computed Tomography Radiologic Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | 386548 | SD | Yes |
Addresses
Primary practice location
806 Honeysuckle Dr
Harrisburg, SD 57032-2312
Mailing address
806 Honeysuckle Drive
Harrisburg, SD 57032
Phone (605) 848-5889
Other providers in Harrisburg, SD
- Lauren Kruesel
- Kathryn M Larson I
- Heather Jean Law
- Monica Ann Leach
- Calli Piper London
- Rachel Maca
- Beth Ann Marsh
- Ashley Brooks Mayland
- Mallory Ranee McCollister
- Darin John Naatjes
All providers in Harrisburg, SD · Computed Tomography Radiologic Technologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.