Lutzen-Medina, Sandra

Lutzen-Medina, Sandra is an sole proprietor health care provider with primary practice located at 17 Nadworny Ln , Stony Brook NY 11790-2100. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Other Service Providers / Health Educator is her primary health care specialty. Lutzen-Medina, Sandra can be contacted via phone (631) 678-2122.

Contact Information

Primary practice address
17 Nadworny Ln Stony Brook NY 11790-2100
Phone: (631) 678-2122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 010705-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 010705-1 New York

Profile Details

NPI number 1518336411
LBN Legal business name Lutzen-Medina, Sandra
Credentials LMT, WHE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2015
Last updated Jan 25th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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