Search › Illinois › 363L00000X
Jodi Lutz, NP
NPI 1063996130 · on the registry since 2018
Practice
- Address
- 1650 Washington Ave
Alton, IL 62002 - Phone
- (314) 687-2735
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Additional practice sites
- 2133 Vadalabene Dr, Maryville, IL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
363LF0000X - Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois