Individual
LARRY A. LECAVALIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 KUSER RD, HAMILTON, NJ 08691-3302
(609) 585-8800
(609) 585-1825
Mailing address
3625 QUAKERBRIDGE RD, HAMILTON, NJ 08619-1207
(609) 585-8800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
C1-0009717
DE
2085R0202X
Diagnostic Radiology Physician
Primary
MA05315600
NJ
2085R0202X
Diagnostic Radiology Physician
MD043841E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01174111
—
PA
05
—
1588661870
—
DE
05
—
7344805
—
NJ
Enumeration date
07/01/2005
Last updated
08/24/2012
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