Individual
JESSICA SUSAN LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21120 W 152ND ST STE 201, OLATHE, KS 66061
(913) 491-4020
(913) 491-4725
Mailing address
825 NE 10TH ST STE 3C, OKLAHOMA CITY, OK 73104-5417
(405) 271-5239
(405) 271-3727
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
04-41093
KS
207V00000X
Obstetrics & Gynecology Physician
Primary
30677
OK
Other
Enumeration date
06/23/2014
Last updated
11/09/2021
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