Individual
ASHLEY MARIE LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
420 AVENUE F, BOGALUSA, LA 70427-3634
(985) 730-6970
Mailing address
420 AVENUE F, BOGALUSA, LA 70427-3634
(985) 730-6970
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2617095
—
LA
Enumeration date
03/23/2023
Last updated
08/21/2023
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