Individual
DEREK LUZIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3562
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
291113
MA
Other
Enumeration date
04/02/2018
Last updated
08/29/2022
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