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Individual

KRISTIN E LUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
116 DEFENSE HWY STE 400, ANNAPOLIS, MD 21401-7050
(410) 897-9841
(410) 897-9852
Mailing address
429 MAPLE LEAF DR, EDGEWATER, MD 21037-3207
(407) 432-7390

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AC004201
MD
363L00000X
Nurse Practitioner
Primary
R271561
MD
363LF0000X
Family Nurse Practitioner
0024183900
VA
363LF0000X
Family Nurse Practitioner
AC004201
AL
363LF0000X
Family Nurse Practitioner
Primary
AC004201
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R271561
LICENSE
MD
Enumeration date
03/08/2022
Last updated
02/05/2026
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