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General NPI Number Information
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NPI Number | 1437093226
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Entity Type | Individual
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Provider Name | MICHELLE LUTSCH MD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 75 FRANCIS STREET
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City | BOSTON
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State | MA
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Zip | 02115
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Country | US
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Telephone | 617-732-8210
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Fax |
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Provider Business Mailing Address
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Address Line | 5755 ST-CLAIR RD
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City | STONEY POINT
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State | ON
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Zip | N0R1N0
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Country | CA
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 3020135
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License Number State | MA
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