MARISSA D LUTZKANIN PA-C
Individual Provider (NPI-1)
Active
Internal Medicine, Gastroenterology
Provider Information
- NPI Number
1972289627- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 7230 RENNER ROAD, SHAWNEE, KS, 66217
- Phone
- (913) 962-2122
- Fax
- (913) 962-2422
Specialties & Taxonomies
Internal Medicine, Gastroenterology
Primary License: KS #15-02764