Individual
DR. LARS BOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 BROAD ST, #801, BOSTON, MA 02109-3803
(857) 239-9120
(857) 277-1355
Mailing address
15 BROAD ST, #801, BOSTON, MA 02109-3803
(857) 239-9120
(857) 277-1355
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
60137
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028554
BOSTON HEALTH NET
MA
01
—
004624
BLUECHIP
RI
01
—
125141400
ACS/WORKERS COMP
MA
01
—
1701023
1701023
MA
05
—
3037886
—
MA
01
—
42894
CHILDRENS MEDICAL SECURI
MA
01
—
4339-7
BLUECROSS RI
RI
01
—
6351
NEIGHBORHOOD HEALTH PLAN
MA
01
—
754146
TUFTS
MA
01
—
8269
HARVARD PILGRIM
MA
01
—
89755
US HEALTHCARE
MA
01
—
J07574
BLUECROSS BLUECHIELD OF M
MA
Enumeration date
07/03/2006
Last updated
06/08/2016
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