Southard, Luzbella M.

Southard, Luzbella M. is an sole proprietor health care provider with primary practice located at 14 Ross Ave Basement Left, Millis MA 02054-1545. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as her primary health care specialty. Southard, Luzbella M. can be contacted via phone (508) 376-0114.

Contact Information

Primary practice address
14 Ross Ave Basement Left Millis MA 02054-1545
Phone: (508) 376-0114
Fax: (508) 376-9592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 41938 Massachusetts

Profile Details

NPI number 1306995170
LBN Legal business name Southard, Luzbella M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306995170 NPPES
Massachusetts Other 738314 TUFTS HEALTH CARE
Massachusetts MEDICAID 0182842 TUFTS HEALTH CARE
Massachusetts Other 6274 TUFTS HEALTH CARE

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