Individual provider · Type 1 NPI

Shannon Kirby Lutz, PA-C

Medical Physician Assistant · Sewell, NJ

NPI number 1275043705 Active

Practice location

150 Delsea Dr Ste B
Sewell, NJ 08080-9478

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426

Other practice locations

  • 2360 Maryland Rd, Willow Grove, PA 19090 · (215) 657-6776

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA059371 (PA)
Medical Physician Assistant Primary 363AM0700X25MP00463000 (NJ)

Medical Physician Assistant: Definition to come...

7 other providers at this address

Other medical physician assistant providers in Sewell

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About NPI 1275043705

Shannon Kirby Lutz, PA-C's National Provider Identifier is 1275043705, issued on Oct 11, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sewell, NJ. The record was last updated on Jun 15, 2022.