Individual
SAMUEL LUTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
(978) 463-1050
Mailing address
12 GILL ST, STE 3000, WOBURN, MA 01801-1728
(781) 937-4522
(781) 937-4510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1561
MA
Other
Enumeration date
06/07/2007
Last updated
12/20/2007
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