Individual
NATHAN LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT(R)(MR)(CT)
Contact information
Practice address
806 HONEYSUCKLE DR, HARRISBURG, SD 57032-2312
(605) 848-5889
Mailing address
806 HONEYSUCKLE DRIVE, HARRISBURG, SD 57032
(605) 848-5889
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
386548
SD
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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