Individual
MRS. LISA MARIE LUTES I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
41155 POND VIEW DR, STERLING HEIGHTS, MI 48314-3891
(586) 739-9494
Mailing address
21104 FRAZHO ST, SAINT CLAIR SHORES, MI 48081-3125
(586) 489-1211
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201002140
MI
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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