William B Lutz, DC, ATC, MS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7240 Issued in MN

Practice address

2145 Ford Pkwy
Saint Paul, MN 55116-1900

Phone

(651) 698-6803

NPI assigned

May 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Clinic, P.a.Group PAC ID 5799934857, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Life Clinic, P.a.

  • Rehabilitation Chiropractor
  • St Louis Park, MN
  • NPI 1023296167
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1851747505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PARK AVE UNIT 308",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151167",
            "telephone_number": "651-983-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161900",
            "telephone_number": "651-698-6803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Park Ave Unit 308",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151167",
            "country_code": "US",
            "telephone_number": "651-983-1860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC, ATC, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO010509",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002922",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Lussenhop, MD
• Molly Elizabeth Lutgen, NP
• Lutheran Social Service of Minnesota
• Katherine Luttrull, LPCC, LADC
• Emily Rose Lutz
• Jessica Lux, RN, LSN, PHN
• Luxottica of America Inc (Target Optical #C4068)
• Luxottica of America Inc (Target Optical #C4380)
• Luxottica of America Inc. (LensCrafters #715)
• Luxottica of America Inc. (Target Optical #4024)

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.