Erickson, Lars

Erickson, Lars is an individual health care provider with primary practice located at 33 Oak Ave , Worcester MA 01605-2752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Erickson, Lars can be contacted via phone (508) 757-7300.

Contact Information

Primary practice address
33 Oak Ave Worcester MA 01605-2752
Phone: (508) 757-7300
Fax: (508) 757-7900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 59113 Massachusetts

Profile Details

NPI number 1518957190
LBN Legal business name Erickson, Lars
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Feb 8th, 2017 - about 8 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 1518957190 NPPES
Massachusetts MEDICAID 3107523

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