Individual
LAWRENCE ELLIOTT YELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
32401
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010016
NEIGHBORHOOD
—
01
—
032401
SECURE HORIZONS
—
05
—
2011654
—
MA
01
—
4052509
AETNA
—
01
—
B18156
BLUE CROSS
MA
01
—
D442
HARVARD PILGRIM
—
Enumeration date
10/02/2006
Last updated
12/11/2019
Update your record
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