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Individual
ROLAND LARRABEE
Active
Individual
ROLAND LARRABEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD025172E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127170
UNISON
PA
01
—
000568289
HIGHMARK
PA
05
—
001390706
—
PA
01
—
0389560000
INDEPENDENCE BLUE CROSS
PA
01
—
0530956
AETNA-HMO
PA
01
—
080114619
RR MEDICARE
PA
01
—
1001450
MERCY
PA
01
—
30013212
KEYSTONE MERCY
PA
01
—
40261
GEISINGER
PA
01
—
50055842
CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
PA
01
—
5636313
AETNA-NON HMO
PA
01
—
7289716
CIGNA
PA
01
—
P002623
GATEWAY
PA
Enumeration date
06/11/2006
Last updated
04/12/2011
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