Individual
BRITTANY LUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 W KETTLEMAN LN, LODI, CA 95242-9290
(209) 339-3797
Mailing address
15 S ORANGE AVE, LODI, CA 95240-2834
(209) 224-7158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95008694
CA
Other
Enumeration date
06/30/2018
Last updated
06/30/2018
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