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General NPI Number Information
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NPI Number | 1770401069
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Entity Type | Individual
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Provider Name | LAUREN LEIGH LUTZ
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 5306 NC HIGHWAY 55 STE 105
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City | DURHAM
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State | NC
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Zip | 27713-7812
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Country | US
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Telephone | 919-679-7112
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Fax |
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Provider Business Mailing Address
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Address Line | 645 PECAN RIDGE CIR
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City | KERNERSVILLE
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State | NC
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Zip | 27284-7509
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 302338
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License Number State | NC
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