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Wanda M. Lutz
Specialist in Trinidad, Colorado
NPI 1205022605

Wanda M. Lutz is a Specialist based in Trinidad, CO. Wanda M. Lutz practices in Trinidad, CO. The NPI Number for Wanda M. Lutz is 1205022605 and holds a License No. (Colorado).

The current practice location address for Wanda M. Lutz is 165 E First St, Trinidad, CO and can be reached out via phone at 719-846-4990 and via fax at 719-846-3505.

Location: 165 E First St, Trinidad, CO, 81082-3001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205022605
Provider Name
Wanda M. Lutz
Credential
Provider Entity Type
Individual
Gender
Female
Address
165 E First St, Trinidad, CO, 81082-3001
Phone Number
719-846-4990
Fax Number
719-846-3505
Provider Enumeration Date
09/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
165 E First St
City
Trinidad
State
Colorado
Zip
81082-3001
Phone Number
719-846-4990
Fax Number
719-846-3505
person
Provider Business Mailing Address Details
Address
165 E First St
City
Trinidad
State
Colorado
Zip
81082-3001
Phone Number
719-846-4990
Fax Number
719-846-3505
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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