Healthcare Provider Details
I. General information
NPI: 1336366475
Provider Name (Legal Business Name): BARBARA FRANCES LUTZ RRT, RCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 CHILDRENS DR
COLUMBUS OH
43205-2664
US
IV. Provider business mailing address
362 ALTAMONT AVE
MANSFIELD OH
44902-7865
US
V. Phone/Fax
- Phone: 614-722-5950
- Fax:
- Phone: 419-524-7845
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 227900000X |
| Taxonomy | Registered Respiratory Therapist |
| License Number | RCP.10344 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: