Individual
MRS. JENNIFER B LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
601 E 5TH ST, CHARLOTTE, NC 28202-3031
(704) 375-0172
Mailing address
601 E 5TH ST, CHARLOTTE, NC 28202-3031
(704) 375-0172
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5006065
NC
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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