Individual
DR. LAWRENCE LUTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 MAIN ST, STOCKBRIDGE, MA 01262
(401) 529-1075
(401) 529-1075
Mailing address
10902 ROYAL DEVON WAY, LAKE WORTH, FL 33467-8652
(561) 966-3599
(561) 493-6540
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
30827
MA
208000000X
Pediatrics Physician
Primary
30827
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30827
STATE LICENSE
MA
01
—
NONE
PEDIATRICS
—
Enumeration date
10/03/2006
Last updated
03/29/2021
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