Lon Lutz,MD PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

30820 Issued in MN

Legal business name

LON LUTZ,MD PA

Practice address

548 Foxwood LN
Mendota HTS, MN 55118-2808

Phone

(651) 313-8250

Fax

(651) 313-8251

NPI assigned

May 3, 2011

Last updated

Mar 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Lutz

Title

Office Manager

Phone

(651) 313-8254

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1528350048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 FOXWOOD LN",
            "city": "MENDOTA HTS",
            "state": "MN",
            "postal_code": "551182808",
            "telephone_number": "651-313-8250",
            "fax_number": "651-313-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 FOXWOOD LN",
            "city": "MENDOTA HTS",
            "state": "MN",
            "postal_code": "551182808",
            "telephone_number": "651-313-8250",
            "fax_number": "651-313-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LON LUTZ,MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-313-8254",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MN",
            "license": "30820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952352221",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Burton Orr, MD

• Interventional Pain Medicine Physician in Mendota HTS, MN
• Providers in Mendota HTS, MN by specialty
• Interventional Pain Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.