Individual
LUCAS WITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 475-0613
Mailing address
21 WIGGLESWORTH ST, BOSTON, MA 02120-1602
(617) 475-0613
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1017227
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2021
Last updated
06/09/2025
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