Individual
TEENA RAE LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
200 THEDA CLARK MEDICAL PLZ, SUITE 130, NEENAH, WI 54956-2721
(920) 729-7105
(920) 720-2151
Mailing address
200 THEDA CLARK MEDICAL PLZ, SUITE 130, NEENAH, WI 54956-2721
(920) 729-7105
(920) 720-2151
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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