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NPI Code Detail

MEDICARE: LYNN MARIE LUTZI LEGER LPCC

MEDICARE: LYNN MARIE LUTZI LEGER LPCC
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
1101YP2500XProfessional Counselor2216MN

General Provider Information

NPI Number : 1467001107
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN MARIE LUTZI LEGER LPCC
Provider Business Mailing Address
First Line : 1620 GREENVIEW DR SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-4319
Country : US
Telephone Number : 507-218-3701
Fax Number : 507-258-5503
Provider Business Practice Location Address
First Line : 1620 GREENVIEW DR SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-4319
Country : US
Telephone Number : 507-218-3701
Fax Number : 507-258-5503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2019
Last Update Date : 09/05/2019

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