Doctor Name: | MS. CAROL D LUTZ |
NPI Number: | 1417173170 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., APRN-C |
License Number: | 26NC04710900 |
Business Practice Address: | 72 Pinecrest Dr Woodcliff Lake, NJ - 076778220 |
Business Phone Number: | 2019301466 |
Business Fax Number: | 2019301088 |
Mailing Address: | 72 Pinecrest Dr, WOODCLIFF LAKE |
State: | NJ |
Postal Code: | 076778220 |
Phone Number: | 2019301466 |
Fax Number: | 2019301088 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 26NC04710900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |