JACOB LUTZ
Individual Provider (NPI-1)
Active
Registered Nurse, Critical Care Medicine
Provider Information
- NPI Number
1578110441- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 800 PRUDENTIAL DR, JACKSONVILLE, FL, 322078202
- Phone
- (904) 202-2000
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
Primary License: KY #1147371
All Addresses
MAILING
3997 BUFFALO TRCE
MADISONVILLE, KY, 424318671