Individual
MADISON FRANCES LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4333 PAN AMERICAN FWY NE STE B, ALBUQUERQUE, NM 87107-6833
(505) 266-3835
(505) 266-3340
Mailing address
10109 TOLTEC RD NE, ALBUQUERQUE, NM 87111-4935
(505) 270-6019
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
60047
NM
Other
Enumeration date
06/21/2020
Last updated
06/21/2020
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