Individual
RANDOLPH W LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11300 CORPORATE AVE, LENEXA, KS 66219-1374
(913) 449-4992
(913) 574-0252
Mailing address
11300 CORPORATE AVE, LENEXA, KS 66219-1374
(913) 588-2370
(913) 574-0252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-10405
KS
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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