Individual
DR. LAWRENCE STEPHEN MCAULIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 MAIN ST, HYANNIS, MA 02601-3129
(508) 778-1829
(508) 778-0113
Mailing address
25 MAIN ST, HYANNIS, MA 02601-3129
(508) 778-1829
(508) 778-0113
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
47818
MA
207RI0011X
Interventional Cardiology Physician
47818
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030690
BOSTON MEDICAL CENTER
MA
05
—
0168637
—
MA
01
—
060058506
MEDICARE ID
MA
01
—
11086042
CAQH
—
01
—
1447358874
NETWORK HEALTH
MA
01
—
2272937
AETNA
MA
01
—
25-00638
UNITED HEALTHCARE
MA
01
—
3223
HARVARD PILGRIM
MA
01
—
6796921-001
CIGNA
MA
01
—
712757
TUFTS
MA
01
—
L15142
BLUE CROSS BLUE SHIELD
MA
01
—
S017060
TRICARE
MA
Enumeration date
09/20/2006
Last updated
03/18/2009
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