Individual
LANCE A LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,FACC
Contact information
Practice address
75 HERRICK ST, SUITE 206, BEVERLY, MA 01915-5900
(978) 927-8400
(978) 922-1452
Mailing address
75 HERRICK ST, SUITE 206, BEVERLY, MA 01915-5900
(978) 927-8400
(978) 922-1452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
59741
MA
207RC0000X
Cardiovascular Disease Physician
Primary
59741
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016080
NEIGHBORHOOD HEALTH PLAN
MA
01
—
042804155
CIGNA
MA
01
—
059741
TUFTS HEALTH PLAN
MA
01
—
060058690
RAILROAD MEDICARE
MA
01
—
2500717
UNITED HEALTHCARE
MA
05
—
3053024
—
MA
01
—
32041
FALLON COMMUNITY HEALTH
MA
01
—
4231092
AETNA
MA
01
—
60917
HARVARD PILGRIM
MA
01
—
97126301
NETWORK HEALTH PLAN
MA
01
—
J07711
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/19/2006
Last updated
01/28/2014
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