Individual
TONYA MARIE LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1002 BELLEVUE AVE, SALEM, OR 97301
(503) 561-5554
Mailing address
2870 BOLTON TER S, SALEM, OR 97302-5448
(503) 589-1211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201350046NP
OR
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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