Individual
JENNIFER A LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76033 CAMEO DR, COVINGTON, LA 70435-5707
(985) 893-7959
Mailing address
76033 CAMEO DR, COVINGTON, LA 70435-5707
(985) 893-7959
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2552
LA
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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