Individual
ANNE BODMER LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
275 BELMONT ST, WORCESTER, MA 01604-1675
(508) 791-3261
Mailing address
275 BELMONT ST, WORCESTER, MA 01604-1675
(508) 791-3261
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
156824
MA
Other
Enumeration date
03/28/2007
Last updated
05/19/2011
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