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Individual

CAROL D LUZZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 NAVARRE PL STE 5570, SOUTH BEND, IN 46601-1169
(574) 647-8610
(574) 647-8615
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1610
(574) 237-6069

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01064266A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01064266A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200116740
IN
Enumeration date
11/09/2006
Last updated
10/01/2025
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