Most Relevant Information
Provider Data
| NPI Number: | 1003259144 |
| Provider Name: | MICHELLE LUTZ |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/08/2013 |
| Last Updated: | 04/09/2014 |
Provider Practice Location
940 AVENUE 64
PASADENA
CA
911052711
Practice Location Phone/Fax
| Phone: | 3232542274 |
| Fax: |
Provider Mailing Location
940 AVENUE 64
PASADENA
CA
911052711
Provider Mailing Phone/Fax
| Phone: | 3232542274 |
| Fax: |