Individual
BLAIRE ANN LUTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(855) 287-6613
Mailing address
3029 CHIPPENDALE RD, RALEIGH, NC 27604-3781
(608) 214-7310
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
05/15/2023
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