Lutz, Jodi R

Lutz, Jodi R is an individual health care provider with primary practice located at 1650 Washington Ave , Alton IL 62002-3931. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Lutz, Jodi R can be contacted via phone (314) 687-2735.

Contact Information

Primary practice address
1650 Washington Ave Alton IL 62002-3931
Phone: (314) 687-2735
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2018006031 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209017496 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209017496 Illinois

Profile Details

NPI number 1063996130
LBN Legal business name Lutz, Jodi R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2018
Last updated Oct 23rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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