Lifson, Lawrence Edward

Lifson, Lawrence Edward is an individual health care provider with primary practice located at 22 Ellis Rd , West Newton MA 02465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lifson, Lawrence Edward can be contacted via phone (617) 964-8809.

Contact Information

Primary practice address
22 Ellis Rd West Newton MA 02465
Fax: (617) 244-7852
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 30111 Massachusetts

Profile Details

NPI number 1962540658
LBN Legal business name Lifson, Lawrence Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jul 8th, 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 1962540658 NPPES
Massachusetts Other B33358 BLUE CROSS BLUE SHIELD

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