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Individual

CAROLINE H LUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
266 JOULE ST, ALCOA, TN 37701-2422
(865) 984-3864
(865) 380-4095
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
197817
TN
363LF0000X
Family Nurse Practitioner
Primary
25691
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q048210
TN
Enumeration date
03/21/2019
Last updated
11/03/2025
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