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NPI Code Detail

MEDICARE: DANIELLE MARIE LUTZ

MEDICARE: DANIELLE MARIE LUTZ
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
1374J00000XDoulaNY
2174N00000XLactation Consultant (Non-RN)

General Provider Information

NPI Number : 1700547940
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE MARIE LUTZ
Provider Business Mailing Address
First Line : 600 STONY BROOK CT
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-6524
Country : US
Telephone Number : 845-499-8116
Fax Number :
Provider Business Practice Location Address
First Line : 600 STONY BROOK CT
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-6524
Country : US
Telephone Number : 845-499-8116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2022
Last Update Date : 01/13/2026

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