Individual
DEREK THOMAS LUTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
102 MAIN ST, GREENFIELD, MA 01301-3275
(413) 325-8500
(508) 363-1504
Mailing address
102 MAIN ST, GREENFIELD, MA 01301-3275
(413) 325-8500
(508) 363-1504
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA7972
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/28/2020
Last updated
09/21/2023
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