Individual
KATHRYN MARIE LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3950 HOLLYWOOD RD STE 110, SAINT JOSEPH, MI 49085-9151
(269) 985-1000
Mailing address
1219 EDITH AVE NE, GRAND RAPIDS, MI 49505-5506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012979
MI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/14/2025
Last updated
05/14/2025
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