Organization
LUTZ CHILD AND FAMILY ASSOCIATES, P.C.
Active
Parent organization
LUTZ CHILD AND FAMILY ASSOCIATES, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTZ CHILD AND FAMILY ASSOCIATES, P.C.
Authorized official
DR. ANNE BODMER LUTZ M.D. (CHILD PSYCHIATRIST)
(774) 239-2013
Entity
Organization
Contact information
Practice address
47 PROSPECT ST, SUITE ONE, WEST BOYLSTON, MA 01583-1301
(774) 239-2013
Mailing address
47 PROSPECT ST, SUITE ONE, WEST BOYLSTON, MA 01583-1301
(774) 239-2013
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
156824
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356460505
NPI
MA
Enumeration date
09/10/2009
Last updated
05/19/2011
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