Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa D Lutzkanin, PA-C

Individual provider Gastroenterology Physician · NPI 1972289627

Marissa D Lutzkanin, PA-C is a Gastroenterology Physician in Shawnee, Kansas. Licensed in Kansas. Registered with an NPI since 2023.

Licensed in
KS
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7230 Renner Rd
Shawnee, KS 66217
Phone: (913) 962-2122
Fax: (913) 962-2422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 15-02764 (KS)

Record details

NPI number1972289627
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

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