Individual
DR. BAILEE LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1708 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-5250
(479) 222-1144
Mailing address
1708 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-5250
(479) 222-1144
(833) 973-4866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E15123
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E15123
ARKANSAS STATE MEDICAL BOARD
AR
Enumeration date
04/05/2019
Last updated
12/04/2024
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