Individual
CORY LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 BEVERLY BLVD, LOS ANGELES, CA 90057
(323) 938-3434
Mailing address
2115 BEVERLY BLVD, LOS ANGELES, CA 90057
(323) 938-3434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 19381
CA
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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