Individual
LARS STANGENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 02905-3236
(401) 553-8318
(401) 868-2307
Mailing address
PO BOX 24300, NEW YORK, NY 10087-4300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
L-236269
MA
2086S0129X
Vascular Surgery Physician
254554
MA
2086S0129X
Vascular Surgery Physician
Primary
MD15584
RI
Other
Enumeration date
06/23/2008
Last updated
02/09/2026
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