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Individual

LARRY JOHN LUTZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1500 S MAIN ST, EATON RAPIDS, MI 48827-1952
(517) 663-2671
Mailing address
7176 CROWN POINTE CIR, PORTAGE, MI 49024-4038
(269) 321-8736

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704189964
MI

Other

Enumeration date
07/04/2006
Last updated
07/08/2007
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