| NPI | 1730622283 |
|---|---|
| Former Name | LEIGH ANN G. LUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2625) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC 2625) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2023-08-25 |