Individual
ERICH LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 CENTRAL AVE., TAZEWELL, VA 24651
(276) 988-4549
Mailing address
215 CHURCH ST., TAZEWELL, VA 24651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415267
VA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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