Doctor Name: | STEPHEN JOHN LUZAR |
NPI Number: | 1376755579 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., L.P. |
License Number: | LP 5228 |
Business Practice Address: | 126 E 2nd St Redwood Falls, MN - 562831695 |
Business Phone Number: | 5076161019 |
Business Fax Number: | 5076161032 |
Mailing Address: | P. O. Box 531, REDWOOD FALLS |
State: | MN |
Postal Code: | 56283 |
Phone Number: | 5076161019 |
Fax Number: | 5076161032 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 10/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | LP 5228 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |