Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD-46151 | IA |
N | 2084N0400X | Neurologist | MD-46151 | IA |
Y | 2084N0402X | Child Neurologist | MD-46151 | IA |
NPI | 1356753859 |
---|---|
Provider Name | Dr. Katie Lynn Lutz |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2014 |
Last Update Date | 05/09/2019 |