Individual
DANIELLE ALISHA LUTZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
523 NORTH 3RD ST, BRAINERD, MN 56401-3054
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12709
MN
Other
Enumeration date
09/13/2018
Last updated
01/11/2022
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