JACOB THOMAS LUTZ

FORT WAYNE, IN
NPI1164860052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: IN  20042679A)
Enumeration Date2013-06-13
Last Update Date2013-06-13
Business Address
-- JACOB THOMAS LUTZ PhD
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845-1673
Phone number: 260-460-3203
Mailing Address
-- JACOB THOMAS LUTZ PhD
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845-1673
Phone number: 260-460-3203
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