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Individual

MRS. CHRYSTAL LYN LUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9777 MARIGOLD AVE, CASHTON, WI 54619-8334
(608) 654-7737
Mailing address
9777 MARIGOLD AVE, CASHTON, WI 54619-8334
(608) 654-7737

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171771 - 030
WI

Other

Enumeration date
11/03/2009
Last updated
04/26/2010
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