WAYNE H LUTZKE
NPI 1366437261
General Practice in Canton, OH

Q: What is Wayne Lutzke's NPI number?

The NPI number for Wayne Lutzke is 1366437261. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Q: What is Wayne Lutzke's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Lutzke was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 16, 2005

4580 STEPHENS CIR NW STE 202, CANTON, OH 44718(330) 754-4431(330) 244-8839 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2019, Dec 4, 2018 (2 updates tracked since 2018).

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About Wayne H Lutzke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE H LUTZKE (NPI 1366437261) is an individual general practice provider in Canton, Ohio, licensed in Ohio (34.001474) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1366437261

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameWAYNE H LUTZKE

Location Address4580 STEPHENS CIR NW STE 202Canton, OH 44718-3645

Mailing Address4580 Stephens Cir Nw Ste 202Canton, OH 44718-3645 · (330) 754-4431 · Fax (330) 244-8839

Phone(330) 754-4431

Fax(330) 244-8839

Sole ProprietorNo

Enumeration DateSeptember 16, 2005

Last NPPES UpdateSeptember 16, 20192 updates tracked since enumeration

✔ NPI 1366437261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in OH · 34.001474

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4580 STEPHENS CIR NW STE 202, Canton, OH 44718

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRISTINA DAWN ILIJEVSKI APRN-CNP

Nurse Practitioner (Gerontology)