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
Phone: (913) 962-2122
Fax: (913) 962-2422
Website:
Health care specialties
Specialty | Code | License # | 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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