Individual
ELLA LUTZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
72 NICHOLS ST # 1, GARDNER, MA 01440-4012
(269) 806-0551
Mailing address
72 NICHOLS ST # 1, GARDNER, MA 01440-4012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7017
MA
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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