LARRY W LUTZ II MS
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1386662294- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MS
- Status
- Active
Contact & Location
- Address
- 210 N 3RD E, MOUNTAIN HOME, ID, 836472733
- Phone
- (208) 284-0959
- Fax
- (208) 587-4269
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #LCPC-4128