Individual
SARAH R LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 CASCADE RD SE, GRAND RAPIDS, MI 49546-8328
(616) 525-1500
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704278108
MI
363LA2200X
Adult Health Nurse Practitioner
4704278108
MI
Other
Enumeration date
01/11/2019
Last updated
02/08/2019
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