Most Relevant Information
Provider Data
NPI Number: | 1003014671 |
Provider Name: | DONNA MARIE LUTZ MSCCC-A |
Entity Type: | Individual |
Taxonomy Code: | 237600000X |
Specialty: | Audiologist-Hearing Aid Fitter |
License Number: | 001569-1 |
Most Important Dates
Enumeration Date: | 07/05/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
355 BARD AVE
STATEN ISLAND
NY
103101664
Practice Location Phone/Fax
Phone: | 7188182250 |
Fax: |
Provider Mailing Location
16 ISLAND DR
OLD BRIDGE
NJ
088572518
Provider Mailing Phone/Fax
Phone: | 7326793383 |
Fax: |