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Contact Information

JOHN S LUTZ JR, MD
1325 E FORTIFICATION ST
JACKSON, MS39202-2442
 Phone: 601-354-4488
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JOHN S LUTZ JR · (Male)

NPI Number 1255628020
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2011
Last updated 01/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 23833
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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