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Individual

DR. DAVID J LUTZ

Active
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Individual

DR. DAVID J LUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP03120
KS
103TC0700X
Clinical Psychologist
R0201
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
496943804
MO
Enumeration date
09/30/2005
Last updated
07/15/2024
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