Provider Information for 1386983708
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Dr. JUSTIN CHRISTOPHER LUTZ PsyD
Sex: Male
NPI: 1386983708
Last Updated: 2020-08-20
Certification Date: 2020-08-20
Certification Date: 2020-08-20
Details
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NPI | 1386983708 | ||||||||
Enumeration Date | 2013-02-05 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 301 THE CITY DRIVE MOB44 2ND FLOOR ORANGE, CA 92868 United States Phone: 949-680-6791 | Fax: | ||||||||
Primary Practice Address | 63 CARRIAGE HILL LN LAGUNA HILLS, CA 92653-6039 United States Phone: 949-680-6791 | Fax: | ||||||||
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