Individual
DR. SHANNON CATHLEEN LUTZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-2208
Mailing address
808 EVERGREEN RD, LAKE OSWEGO, OR 97034-2955
(503) 744-0599
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
11177T
CA
152W00000X
Optometrist
Primary
3157T
OR
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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