MEDICARE: LUCRETIA STEITZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	271822	MA

General Provider Information

NPI Number	:	1477642684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCRETIA STEITZ

Provider Business Mailing Address
First Line	:	150 S HUNTINGTON AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-4817
Country	:	US
Telephone Number	:	857-364-4223
Fax Number	:	857-364-4421

Provider Business Practice Location Address
First Line	:	150 S HUNTINGTON AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-4893
Country	:	US
Telephone Number	:	857-364-4223
Fax Number	:	857-364-4421

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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Directions to “ LUCRETIA STEITZ ” Practice Location

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