Individual
MISS DONNA RENEE LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6449 BROOKEDGE CT, DUBLIN, OH 43017-1668
(614) 562-8258
Mailing address
6449 BROOKEDGE CT, DUBLIN, OH 43017-1668
(614) 562-8258
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN130024MIV
OH
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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