Healthcare Provider Details

I. General information

NPI: 1336800655
Provider Name (Legal Business Name): ERIN NATASHA LUTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2022
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1554 NEWTON FALLS PORTAGE RD
NEWTON FALLS OH
44444-9525
US

IV. Provider business mailing address

1554 NEWTON FALLS PORTAGE RD
NEWTON FALLS OH
44444-9525
US

V. Phone/Fax

Practice location:
  • Phone: 330-646-4409
  • Fax:
Mailing address:
  • Phone: 330-646-4409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: