Organization
ROOTED FAMILY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAILEE LUTZ MD (OWNER)
(479) 222-1144
Entity
Organization
Contact information
Practice address
1708 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-5250
(479) 222-1144
Mailing address
1708 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-5250
(479) 222-1144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
10/28/2024
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