Constance Marie Lutze, MDS, RDN, LD
Dietitian, Registered in Spring Branch, TX. Individual provider (NPI-1).
NPI number1609528330
StatusActive
Last updated in NPPESJan 24, 2022
Details
- NPI
- 1609528330
- Entity type
- Individual (NPI-1)
- Name
- Constance Marie Lutze
- Credential
- MDS, RDN, LD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2022
- Certification date
- Jan 24, 2022
- Last updated
- Jan 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT86272 | TX | Yes |
Practice location
309 Canon Hill DrSpring Branch, TX 78070-6523
Phone 210-323-9690
Mailing address
309 Canon Hill DrSpring Branch, TX 78070-6523
Phone 210-323-9690
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