Individual
STEPHEN LUTZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC, IDN
Contact information
Practice address
285 VESPER RD, MOGADORE, OH 44260-2005
(330) 472-9769
Mailing address
285 VESPER RD, MOGADORE, OH 44260-2005
(330) 472-9769
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003372
OH
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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