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1184458176
STACIE LYNNETTE LUTZ
LEAGUE CITY, TX
NPI
1184458176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: TX 1157371)
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
STACIE LYNNETTE LUTZ APRN, WHNP-BC
651 N EGRET BAY BLVD STE H
LEAGUE CITY, TX 77573-2665
Phone number: 832-864-9375
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Mailing Address
STACIE LYNNETTE LUTZ APRN, WHNP-BC
601 TREMONT ST # 8145
GALVESTON, TX 77550-1986
Phone number: 972-489-1676
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