Individual
MICHELLE M LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PH.D.
Contact information
Practice address
1550 BOYSON RD, HIAWATHA, IA 52233-2362
(319) 743-7300
Mailing address
1550 BOYSON RD, HIAWATHA, IA 52233-2362
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40240
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2008
Last updated
10/24/2012
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