Individual provider · Type 1 NPI
Jaclyn Lutzow
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1497469217
Active
Practice location
3509 N Broad St
Philadelphia, PA 19140-4105
Mailing address
1836 Edmund Rd
Abington, PA 19001-2012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP026727 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1497469217
Jaclyn Lutzow's National Provider Identifier is 1497469217, issued on Jan 6, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 6, 2023.