Individual
LARRY A. LECAVALIER
Active
Individual
LARRY A. LECAVALIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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