# MRS. KELLY NICOLE LUTZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679002299
- **Gender:** F
- **Credential:** R.PH.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 03223148 | OH | Yes |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 03223148 | OH | Yes |

## Other

- **Enumeration date:** 06/07/2017
- **Last updated:** 06/23/2026