Provider Demographics
NPI:1306289897
Name:LUTZ, PAUL A (CRNA)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:A
Last Name:LUTZ
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Gender:M
Credentials:CRNA
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Mailing Address - Street 1:2215 E WATERLOO RD
Mailing Address - Street 2:SUITE 313
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-3814
Mailing Address - Country:US
Mailing Address - Phone:330-208-2720
Mailing Address - Fax:330-208-2721
Practice Address - Street 1:2215 E WATERLOO RD
Practice Address - Street 2:SUITE 313
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-3814
Practice Address - Country:US
Practice Address - Phone:330-208-2720
Practice Address - Fax:330-208-2721
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2025-04-15
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CRNA.14428367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered