Individual
DAWN LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
123 S. WEBB RD., GRAND ISLAND, NE 68802
(308) 385-5900
Mailing address
123 S. WEBB RD., GRAND ISLAND, NE 68802
(308) 385-5900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20051
NE
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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