Teresa Lutz, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

4271 Issued in ND

Practice address

503 31St St N
Moorhead, MN 56560-2580

Phone

(218) 790-6749

Fax

(218) 359-0773

NPI assigned

Jul 20, 2012

Last updated

Jul 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Teri Lutz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1790030245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 31ST ST N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602580",
            "telephone_number": "218-790-6749",
            "fax_number": "218-359-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 31ST ST N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602580",
            "telephone_number": "218-790-6749",
            "fax_number": "218-359-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "TERESA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "14479",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "4271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "LUTZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Lundborg, LGSW, LMSW
• Sydney Lundebrek
• Karin M Lundquist
• Dawn Lundstrom
• Lutheran Social Service of Minnesota
• Linlin LV
• Amanda Kay Lynch, SLP
• Brian Joseph Lynch, DPT
• John A Lyon, LCSW
• Ellie Macfarlane

• Pharmacist in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.