Individual
PETER RICHARD LUTZ II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
491 HIGH ST, LOCKPORT, NY 14094-4743
(716) 478-4546
Mailing address
8444 HAIGHT RD, BARKER, NY 14012-9615
(716) 622-8685
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
838785
NY
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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