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NPI Code Detail

MEDICARE: SUSAN E LUTZ M.S.,CCC-SLP

MEDICARE: SUSAN E LUTZ M.S.,CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSL005476LPA

General Provider Information

NPI Number : 1306173281
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN E LUTZ M.S.,CCC-SLP
Provider Business Mailing Address
First Line : 100 MOUNT ALLEN DR
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17055-6171
Country : US
Telephone Number : 717-697-4666
Fax Number :
Provider Business Practice Location Address
First Line : 100 MOUNT ALLEN DR
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17055-6171
Country : US
Telephone Number : 717-697-4666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2009
Last Update Date : 09/13/2020

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Directions to “ SUSAN E LUTZ M.S.,CCC-SLP” Practice Location

Language Start Address Practice Location
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