Individual
JESSICA L LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7335 WESTSHIRE DR, LANSING, MI 48917-9703
(517) 622-2788
Mailing address
7335 WESTSHIRE DR, LANSING, MI 48917-9703
(517) 622-2788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49919-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49919-021
LICENSE
WI
Enumeration date
12/01/2006
Last updated
03/07/2023
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