Individual
MRS. DONNA MARIE LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCC-A
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-2250
Mailing address
16 ISLAND DR, OLD BRIDGE, NJ 08857-2518
(732) 679-3383
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
001569-1
NY
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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