Individual
MARK LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WOODRUFF CIR NE, ATLANTA, GA 30322-1020
(404) 727-4018
Mailing address
100 WOODRUFF CIR NE, ATLANTA, GA 30322-1020
(404) 727-4018
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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