IndividualActive
Jackson Lutz
NPI 1134078355 · Student in an Organized Health Care Education/Training Program · Orange City, IA
Provider details
- NPI number
- 1134078355
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
1510 Juneau Pl Se Apt 301
Orange City, IA 51041-1884
Registry dates
- Enumerated
- 2026-01-22
- Last updated
- 2026-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.