Larsen, Lance A
Larsen, Lance A is an individual health care provider with primary practice located at 75 Herrick St Suite 206, Beverly MA 01915-5900. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Larsen, Lance A can be contacted via phone (978) 927-8400.Contact Information
Primary practice address
75 Herrick St Suite 206
Beverly MA 01915-5900
Phone: (978) 927-8400
Fax: (978) 922-1452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 59741 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 59741 | Massachusetts |
Profile Details
| NPI number | 1144240789 |
|---|---|
| LBN Legal business name | Larsen, Lance A |
| Credentials | MD,FACC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jan 28th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144240789 | NPPES |
| Massachusetts | Other | 060058690 | RAILROAD MEDICARE |
| Massachusetts | Other | 4231092 | RAILROAD MEDICARE |
| Massachusetts | Other | 2500717 | RAILROAD MEDICARE |
| Massachusetts | Other | J07711 | RAILROAD MEDICARE |
| Massachusetts | MEDICAID | 3053024 | RAILROAD MEDICARE |
| Massachusetts | Other | 042804155 | RAILROAD MEDICARE |
| Massachusetts | Other | 60917 | RAILROAD MEDICARE |
| Massachusetts | Other | 97126301 | RAILROAD MEDICARE |
| Massachusetts | Other | 0016080 | RAILROAD MEDICARE |
| Massachusetts | Other | 059741 | RAILROAD MEDICARE |
| Massachusetts | Other | 32041 | RAILROAD MEDICARE |
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