Lutzkanin, Marissa D

Lutzkanin, Marissa D is an individual health care provider with primary practice located at 7230 Renner Road , Shawnee KS 66217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Lutzkanin, Marissa D can be contacted via phone (913) 962-2122.

Contact Information

Primary practice address
7230 Renner Road Shawnee KS 66217
Fax: (913) 962-2422
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 15-02764 Kansas

Profile Details

NPI number 1972289627
LBN Legal business name Lutzkanin, Marissa D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2023
Last updated Aug 8th, 2023 - about last year

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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