DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WANDA M. LUTZ

Active

Specialist · TRINIDAD, CO

Registration Details

NPI Number
1205022605
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2007 (18.628810010069 yrs)
Last Updated
Sep 19, 2007

Practice Information

Address
165 E FIRST ST
TRINIDAD, CO, 810823001
Browse CO providers · Browse ZIP 81082
Phone
7198464990
Fax
7198463505
Primary Specialty
Specialist
174400000X

Other Specialist Providers in TRINIDAD, CO

Name Credential NPI
MRS. KATRINA LYN MCLAUGHLIN COTA 1457544124
MARY ANN VECELLIO 1295921690
MR. HECTOR RENE TORRES C.M.T. 1053556555
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.