Individual
MELINDA ANN LUTZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
286 HERMOSA ST, PAGOSA SPRINGS, CO 81147-1809
(970) 264-4300
(970) 264-4400
Mailing address
PO BOX 1809, PAGOSA SPRINGS, CO 81147-1809
(970) 264-4300
(970) 264-4400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1501
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08015018
—
CO
Enumeration date
04/21/2006
Last updated
07/08/2007
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