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Individual

RYAN EDDY LUTZ

Active
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Individual

RYAN EDDY LUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3838
SC
111NI0900X
Internist Chiropractor
3838
SC
111NN1001X
Nutrition Chiropractor
3838
SC
111NR0400X
Rehabilitation Chiropractor
3838
SC
111NS0005X
Sports Physician Chiropractor
3838
SC

Other

Enumeration date
07/10/2013
Last updated
07/10/2013
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