Individual
KRISTIN B LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 CAMERON DR, DOUGLASSVILLE, PA 19518-8720
(484) 529-9663
Mailing address
216 HICKORY DR, FLEETWOOD, PA 19522-1624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008323
PA
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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