Individual
TAMMY LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, 9040 REID STREET, TACOMA, WA 98431-1100
(253) 968-0198
Mailing address
101 SAINT JUDE DR, LACKAWANNA, NY 14218-1709
(716) 826-7451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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