Individual
LAWRENCE G KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 MARSTON ST, SUITE 401, LAWRENCE, MA 01841-2310
(978) 682-3686
(978) 794-0841
Mailing address
25 MARSTON ST, SUITE 401, LAWRENCE, MA 01841-2310
(978) 682-3686
(978) 794-0841
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
41919
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107432YPMA01
ANTHEM NH
—
05
—
0133957
—
MA
01
—
042799825
CIGNA
—
01
—
33580
FALLON COMMUNITY HEALTH
—
01
—
531260
AETNA
—
01
—
66729
HARVARD PILGRIM
—
01
—
703254
TUFTS HEALTH PLAN
MA
01
—
9200058
UNITED HEALTH
—
01
—
94070
HEALTHSOURCE
—
01
—
D13212
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/16/2006
Last updated
06/23/2014
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