Individual
HEATHER LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-6000
Mailing address
PO BOX 268, FREEPORT, IL 61032-0268
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.019988
IL
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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