NPI 1184916058
Teena Rae Lutz, CST
Practice location
- Address
- 200 Theda Clark Medical Plz Suite 130, Neenah, WI 54956-2721
- Phone
- (920) 729-7105
- Fax
- (920) 720-2151
Registered specialties
Surgical Technologist
Primary
Registry record
- NPI
- 1184916058
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 May 2011
- Record last updated
- 10 May 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.