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Individual

LINDSEY LUTZWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 224-5658
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 530-6000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2485111
MN
363L00000X
Nurse Practitioner
7787
MN
363L00000X
Nurse Practitioner
Primary
R34334
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1456170
ND
05
1760813505
MN
Enumeration date
12/04/2013
Last updated
11/26/2024
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