# DR. MARY DEPAOLIS LUTZO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134114937
- **Gender:** F
- **Credential:** PH.D., L.M.H.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MH7808 | FL | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | ARNP2814872 | FL | — |

## Other

- **Enumeration date:** 09/18/2005
- **Last updated:** 11/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 201160353 | TRICARE | FL |
| 05 | — | 311743000 | — | FL |