Individual
MICHELLE LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9825 HOSPITAL DR STE 205, MAPLE GROVE, MN 55369-4480
(763) 587-7000
(763) 587-7015
Mailing address
18935 NATCHEZ AVE, PRIOR LAKE, MN 55372-9117
(612) 968-0911
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
13870
MN
Other
Enumeration date
01/31/2026
Last updated
01/31/2026
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