Individual
SUSAN CYNTHIA LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
120 8TH ST SE, ALTOONA, IA 50009-1950
(515) 967-4213
(515) 967-3402
Mailing address
120 8TH ST SE, ALTOONA, IA 50009-1950
(515) 967-4213
(515) 967-3402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13504
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13504
PHARMACISTS LICENSE NUMBE
IA
Enumeration date
07/25/2006
Last updated
07/08/2007
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