Provider Demographics
NPI:1972708956
Name:LUTTER, JULIE MARION (LAC)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:MARION
Last Name:LUTTER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 619
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03244
Mailing Address - Country:US
Mailing Address - Phone:603-464-6684
Mailing Address - Fax:
Practice Address - Street 1:188 N MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-226-4644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHACP010171100000X
MA525171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist