Sara Lynn Lutz, DO
Internal Medicine in Albuquerque, NM. Individual provider (NPI-1).
NPI number1982058905
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1982058905
- Entity type
- Individual (NPI-1)
- Name
- Sara Lynn Lutz
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2016
- Certification date
- Mar 20, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A-2488-21 | NM | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NM | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Sara Lynn Johnson (Former Name)
Practice location
1501 San Pedro Dr SeAlbuquerque, NM 87108-5153
Phone 505-265-1711
Mailing address
1501 San Pedro Dr SeAlbuquerque, NM 87108-5153
Phone 505-265-1711
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