Individual provider · Type 1 NPI

Jackson Lutz

Student in an Organized Health Care Education/Training Program · Orange City, IA

NPI number 1134078355 Active

Practice location

101 7th St SW
Orange City, IA 51041-1923

Call (712) 707-7000 Map

Mailing address

1510 Juneau Pl SE Apt 301
Orange City, IA 51041-1884

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134078355

Jackson Lutz's National Provider Identifier is 1134078355, issued on Jan 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange City, IA. The record was last updated on Jan 22, 2026.