Individual
RICHARD LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3411 BROADWAY AVE, NORTH BEND, OR 97459-1201
(541) 756-0118
Mailing address
17305 NE ALBERT WAY, NEWBERG, OR 97132-6600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0014109
OR
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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