Most Relevant Information
Provider Data
| NPI Number: | 1003585001 |
| Provider Name: | MANON LUTZKE |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/13/2021 |
| Last Updated: | 09/13/2021 |
Provider Practice Location
6051 FRANKFORT HWY STE 200
BENZONIA
MI
496169651
Practice Location Phone/Fax
| Phone: | 2313091712 |
| Fax: |
Provider Mailing Location
6051 FRANKFORT HWY STE 200
BENZONIA
MI
496169651
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |