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Individual

MS. REBECCA SUE LUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1843 JOHNSON AVE NW, CEDAR RAPIDS, IA 52405-4752
(319) 472-3391
Mailing address
204 14TH AVE, VINTON, IA 52349-2304
(319) 472-3391

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16312
IA

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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