Individual
ASHLEY LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 MAIN ST, OLEAN, NY 14760-1532
(716) 323-2600
Mailing address
623 MAIN ST, OLEAN, NY 14760-1532
(716) 323-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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