Individual
AILEEN L LUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 BROADWAY N, FARGO, ND 58102-6704
(701) 234-2900
(701) 234-2996
Mailing address
2601 BROADWAY N, FARGO, ND 58102-6704
(701) 234-2900
(701) 234-2996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41674
MN
207Q00000X
Family Medicine Physician
Primary
9203
ND
Other
Enumeration date
07/17/2006
Last updated
11/29/2011
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