Karen Louise Lutze
Individual provider Active NPI Rehabilitation Practitioner · Tecopa, CA
NPI 1629310271 · NPPES record last updated Mar 21, 2013
Key facts
- NPI
- 1629310271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 404 Parrish Road
Tecopa, CA 92389-0005 - Phone
- (760) 852-4381
- Fax
- (760) 852-4381
- NPI assigned
- Mar 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
404 Parrish Road
Tecopa, CA 92389-0005
Mailing address
PO Box 5
404 Parrish Road
Tecopa, CA 92389-0005
Phone (760) 852-4381
Other providers in Tecopa, CA
All providers in Tecopa, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.