Individual
ELIZABETH MARIE LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
310 N. MAIN ST., COTULLA, TX 78014
(830) 879-2374
(830) 879-4343
Mailing address
131 DEER RUN APT 106, COTULLA, TX 78014-2034
(830) 426-0255
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6426
TX
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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