Doctor Name: | BARBARA B. LUTZ |
NPI Number: | 1255526489 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNM |
License Number: | 25ME00029301 |
Business Practice Address: | 2671 Highway 70 Manasquan, NJ - 087362605 |
Business Phone Number: | 7325286999 |
Business Fax Number: | 7325283397 |
Mailing Address: | 2671 Highway 70, MANASQUAN |
State: | NJ |
Postal Code: | 087362605 |
Phone Number: | 7325286999 |
Fax Number: | 7325283397 |
NPI Enumeration Date: | 09/11/2007 |
NPI Last Update Date: | 09/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 25ME00029301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |