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NPI Code Detail

MEDICARE: CHRISTINA LUTZ LCPC

MEDICARE: CHRISTINA LUTZ LCPC
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 Counselor180.006518IL

General Provider Information

NPI Number : 1780726497
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA LUTZ LCPC
Provider Business Mailing Address
First Line : 303 N JACKSON ST
Second Line :
City : MORRISON
State : IL
Zip : 61270-3042
Country : US
Telephone Number : 815-772-4003
Fax Number :
Provider Business Practice Location Address
First Line : 303 N JACKSON ST
Second Line :
City : MORRISON
State : IL
Zip : 61270-3042
Country : US
Telephone Number : 815-772-4003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 01/23/2025

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Directions to “ CHRISTINA LUTZ LCPC” Practice Location

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