Individual
MICHAEL LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 2ND ST, LAKEWOOD, NJ 08701-3424
(732) 961-2020
(732) 961-1754
Mailing address
212 2ND ST, LAKEWOOD, NJ 08701-3424
(732) 961-2020
(732) 961-1754
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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