SIMON LUTZ

LARAMIE, WY
NPI1750989117
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2020-10-16
Last Update Date2020-10-16
Business Address
SIMON LUTZ
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Mailing Address
SIMON LUTZ
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997