Individual
MEGAN LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
215 N CENTRAL AVE, TAZEWELL, VA 24651-1005
(276) 988-4549
Mailing address
PO BOX 567, TAZEWELL, VA 24651-0567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414486
VA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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