Individual
TAMARA N LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 644-4095
(330) 645-2031
Mailing address
3977 MAYFAIR RD APT 204, UNIONTOWN, OH 44685-8110
(330) 937-4259
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0002158
OH
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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