Individual
LARS ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 OAK AVE, WORCESTER, MA 01605-2752
(508) 757-7300
(508) 757-7900
Mailing address
33 OAK AVE, WORCESTER, MA 01605-2752
(508) 757-7300
(800) 757-0803
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
59113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3107523
—
MA
Enumeration date
10/25/2005
Last updated
02/08/2017
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