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Individual

MICHELLE LUTSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
75 FRANCIS STREET, BOSTON, MA 02115
(617) 732-8210
Mailing address
5755 ST-CLAIR RD, STONEY POINT, ON N0R1N-0

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3020135
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3020135
MASSACHUSETTS LIMITED PHYSICIAN LICSENSE
Enumeration date
04/14/2026
Last updated
04/14/2026
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