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Individual

MELISSA ANN LUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OPTICIAN

Contact information

Practice address
1257 BELLEFONTAINE ST, WAPAKONETA, OH 45895-9732
(419) 738-0494
Mailing address
1257 BELLEFONTAINE ST, WAPAKONETA, OH 45895-9732
(419) 738-0494

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.009614-SC
OH

Other

Enumeration date
02/15/2023
Last updated
02/15/2023
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