Individual
DR. MICHAEL PAUL LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
59 AUBURN ST, AUBURN, MA 01501-2428
(508) 832-8820
(508) 721-5145
Mailing address
3 CALVINS LN, STERLING, MA 01564-2213
(978) 563-1600
(603) 954-8386
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3972
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027653
NEIGHBORHOOD HEALTH
MA
05
—
0334880
—
MA
01
—
152161
HARVARD PILGRIM
MA
01
—
2202752
UNITED HEALTHCARE
MA
01
—
5393688
AETNA
MA
01
—
973954
NETWORK HEALTH
MA
01
—
W16214
BLUE CROSS SHIELD
MA
01
—
W201695
CIGNA
MA
Enumeration date
01/23/2007
Last updated
04/30/2010
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