Kacie Noelle Lutz M.D.

NPI 1083664775 - Pediatrics - 208000000X

NPI Details
NPI 1083664775
Gender Female
Enumeration Date 05/11/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
735 PRIMERA BLVD
SUITE #135
LAKE MARY FL, 32746-2112, US
Phone (407) 321-0085
Fax (407) 328-7658
Business Location
735 PRIMERA BLVD
SUITE #135
LAKE MARY FL, 32746-2112, US
Phone (407) 321-0085
Fax (407) 328-7658
Toxanomy
Taxonomy Code 208000000X
License State Florida
License Number ME93233
Remove 1083664775 NPI Number
 

According to our database, Kacie Noelle Lutz M.D. NPI is 1083664775, taxonomy code is 208000000X and license number is ME93233, license state is located at Florida. Kacie Noelle Lutz M.D. physically located at 735 Primera Blvd, Lake Mary FL, 32746-2112. NPI Number Kacie Noelle Lutz M.D. has the Individual type.

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1083664775 NPI number is provided on an as is basis without warranty of any kind. 1083664775 is maintained by the National Plan & Provider Enumeration System. The contents of Kacie Noelle Lutz M.D. are for informational purposes only.