National Provider Identifier

Peter Richard Lutz II

Peter Richard Lutz II is listed in the NPPES registry with a primary specialty of School Registered Nurse in Lockport, NY and a listed phone number of (716) 478-4546.

NPI 1376396184Lockport, NYSchool Registered Nurse

Profile Overview

NPI
1376396184
Provider Type
Individual
Primary Specialty
School Registered Nurse
Enumeration Date
April 10, 2024
Last Updated
April 10, 2024

Practice Location

  • 491 High St
  • Lockport, NY 14094-4743

Phone: (716) 478-4546

Mailing Address

  • 8444 Haight RD
  • Barker, NY 14012-9615

Specialties

  • School Registered Nurse (163WS0200X)
Full Record
NPI
1376396184
Entity Type
Individual
Last Name
Lutz
First Name
Peter
Middle Name
Richard
Name Suffix
II
Mailing Street Address
8444 Haight RD
Mailing City
Barker
Mailing State
NY
Mailing ZIP Code
14012-9615
Mailing Country
US
Mailing Phone
(716) 622-8685
Practice Street Address
491 High St
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-4743
Practice Country
US
Practice Phone
(716) 478-4546
Enumeration Date
April 10, 2024
Last Updated
April 10, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
April 10, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
School Registered Nurse (163WS0200X)