Individual
DR. LAWRENCE FRANKLIN SELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 6900, BOSTON, MA 02114-2621
(617) 726-2724
(617) 726-7541
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-5600
(617) 726-7541
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34843
MA
2084P0800X
Psychiatry Physician
34843
MA
2084P0804X
Child & Adolescent Psychiatry Physician
34843
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110582
—
MA
01
—
724834
TUFTS HEALTH PLAN
MA
01
—
B33546
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
12/05/2014
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