Organization
TOM LUTZ & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R. LUTZ MA, LP, LICSW (OWNER)
(651) 500-0905
Entity
Organization
Contact information
Practice address
1320 S FRONTAGE RD, HASTINGS, MN 55033-2684
(651) 500-0905
Mailing address
1320 S FRONTAGE RD, HASTINGS, MN 55033-2684
(651) 500-0905
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2698
MN
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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