Individual
DR. LYDIA HEATHER KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
777 CONCORD AVE, STE 301, CAMBRIDGE, MA 02138-1056
(617) 876-9099
(617) 876-9011
Mailing address
777 CONCORD AVE, STE 301, CAMBRIDGE, MA 02138-1056
(617) 876-9099
(617) 876-9011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2599
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000Q00724
BLUECROSS BLUESHIELD
MA
Enumeration date
05/15/2008
Last updated
06/20/2013
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