Individual
MR. EDWARD LUTZOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
296 RANDALL RD, GENEVA, IL 60134-4203
(630) 938-9471
Mailing address
296 RANDALL RD, GENEVA, IL 60134-4203
(630) 938-9471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.012236
IL
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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