Individual
ANGELA L LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SP
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
(626) 405-6768
Mailing address
393 E WALNUT ST, 3RD FLOOR - PHR SYSTEMS, PASADENA, CA 91188-0001
(626) 405-7914
(626) 405-6768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP11588
CA
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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