Larry John Lutz JR. CRNA

NPI 1023048121 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1023048121
Gender Male
Enumeration Date 07/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1500 S MAIN ST
EATON RAPIDS MI, 48827-1952, US
Phone (517) 663-2671
Fax
Business Location
7176 CROWN POINTE CIR
PORTAGE MI, 49024-4038, US
Phone (269) 321-8736
Fax
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704189964
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According to our database, Larry John Lutz JR. CRNA NPI is 1023048121, taxonomy code is 367500000X and license number is 4704189964, license state is located at Michigan. Larry John Lutz JR. CRNA physically located at 1500 S Main St, Eaton Rapids MI, 48827-1952. NPI Number Larry John Lutz JR. CRNA has the Individual type.

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1023048121 NPI number is provided on an as is basis without warranty of any kind. 1023048121 is maintained by the National Plan & Provider Enumeration System. The contents of Larry John Lutz JR. CRNA are for informational purposes only.