Individual
MONICA A LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN253619
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000135930
ANTHEM
—
05
—
2159042
—
OH
01
—
430053594
MEDICARE RAILROAD
—
Enumeration date
05/18/2006
Last updated
08/27/2008
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