Individual
MARISSA D LUTZKANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7230 RENNER ROAD, SHAWNEE, KS 66217
(913) 962-2122
(913) 962-2422
Mailing address
7230 RENNER ROAD, SHAWNEE, KS 66217
(913) 962-2122
(913) 962-2422
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
15-02764
KS
Other
Enumeration date
06/27/2023
Last updated
08/08/2023
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