Individual
DR. TANYA LUTTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18 OLD ETNA RD, LEBANON, NH 03766-1970
(603) 650-5000
(603) 640-1228
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12466
NH
207Q00000X
Family Medicine Physician
209792
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008286
—
VT
05
—
110135591A
—
MA
05
—
30201547
—
NH
Enumeration date
07/25/2006
Last updated
12/15/2025
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