Individual
ALICE ANN LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 W 15TH ST, PLANO, TX 75093-5841
(972) 696-0030
Mailing address
1231 CEDAR PINE LN, OAK POINT, TX 75068-3061
(817) 692-8489
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1035575
TX
Other
Enumeration date
06/08/2021
Last updated
10/05/2021
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