| NPI | 1497033252 |
|---|---|
| Other Name | AMANDA LUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: DE C5-0011895) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0011895) |
| 363A00000X Physician Assistant (Licence: PA MA054873) | |
| 363AS0400X Physician Assistant, Surgical (Licence: PA MA054873) | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2023-04-28 |