Individual
DR. LORI J WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44 BINNEY ST SW 430, DFCI HEAD AND NECK ONCOLOGY, BOSTON, MA 02115
(617) 632-3090
(617) 692-4448
Mailing address
62 ESTES ST, LYNN, MA 01902
(617) 671-3090
(617) 632-4448
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
205729
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154526
HPHC DFCI ONLY
—
01
—
2006545
MASSHEALTH MA MEDICAID
—
01
—
205729
TUFTS
—
01
—
2336581
CIGNA
—
01
—
3233469
AETNA US HEALTHCARE
—
01
—
3600266
UNITED HEALTH CARE
—
01
—
80324
FALLON COMMUNITY HEALTH P
—
01
—
J24007
BCBS INDEMITY BC ELECT HM
MA
Enumeration date
04/08/2006
Last updated
11/28/2016
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