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Individual

ELIZABETH LUTMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
58 W ROCKTON RD, ROCKTON, IL 61072-1631
(815) 624-8431
Mailing address
58 W ROCKTON RD, ROCKTON, IL 61072-1631

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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  • EDI platform