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Individual
DR. LAWRENCE LUTNER
Active
Individual
DR. LAWRENCE LUTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
30827
MA
208000000X
Pediatrics Physician
Primary
30827
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30827
STATE LICENSE
MA
01
—
NONE
PEDIATRICS
—
Enumeration date
10/03/2006
Last updated
03/29/2021
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