Provider Demographics
NPI:1245447473
Name:LUTZ, JULIA ANN (APN)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ANN
Last Name:LUTZ
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CORNFIELD LN
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-3355
Mailing Address - Country:US
Mailing Address - Phone:908-236-2984
Mailing Address - Fax:908-236-9546
Practice Address - Street 1:13 CORNFIELD LN
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889-3355
Practice Address - Country:US
Practice Address - Phone:908-236-2984
Practice Address - Fax:908-236-9546
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN03990300363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health