Individual
LARRY A LITSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
382 N MAIN ST, SUITE 101, E LONGMEADOW, MA 01028-1828
(413) 525-8601
(413) 525-8604
Mailing address
382 N MAIN ST, SUITE 101, E LONGMEADOW, MA 01028-1828
(413) 525-8601
(413) 525-8604
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
54086
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002295
GROUP PTAN
MA
01
—
1053503912
GROUP NPI
—
05
—
110047857A
—
MA
01
—
1619966926
NPI
MA
01
—
S400180318
ACTIVE PROVIDER TRANSACTION ACCESS NUMBER
—
Enumeration date
10/19/2005
Last updated
03/25/2015
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