Individual
DANA M LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 S CLEVELAND AVE, ANESTHESIOLOGY DEPT @ ST. ANNS, WESTERVILLE, OH 43081-8971
(614) 898-6659
(614) 898-8631
Mailing address
PO BOX 20452, COA-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.02740-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0759826
—
OH
Enumeration date
08/15/2005
Last updated
01/31/2024
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