Individual
MRS. MARGARET LUTZ ABISLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
113883
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0352781
—
MA
01
—
NP3201
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/27/2007
Last updated
07/08/2007
Update your record
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