Lars Carver Richardson in Brookline - Specialist

Lars Carver Richardson - NPI 1922022649

Lars Carver Richardson is a Specialist in Brookline, Massachusetts. Lars Carver Richardson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lars Carver Richardson is 1922022649. The last update date is 2009-03-18.

Lars Carver Richardson's current location address is 1101 Beacon Street, Brookline, Massachusetts. You can contact this provider via phone number 6172322663 and fax number 6172326342. The mailing address for Lars Carver Richardson is 1101 Beacon Street, Brookline, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Lars Carver Richardson
Address 1101 Beacon Street, Brookline, Massachusetts
Phone Number 6172322663
Fax Number 6172326342
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1922022649
Provider Enumeration Date 2006-07-26
Last Updated Date 2009-03-18

Provider Mailing Address Detail

Address 1101 Beacon Street
City Brookline
State Massachusetts (MA)
Post Code 2446
Phone Number 6172322663
Fax Number 6172326342

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 204502
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
204502 MA TUFTS
5523775002 MA CIGNA
380493 MA HEALTH SOURCE
J22212 MA BLUE CROSS/BLUE SHIELD
172792 MA HARVARD PILGRIM
3206629 MA --
7585085 MA AETNA

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FAQs about Lars Carver Richardson

What is the unique provider identifier assigned to Lars Carver Richardson?

The Lars Carver Richardson has been issued the NPI (National Provider Identifier) 1922022649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Lars Carver Richardson is geographically located?

The Lars Carver Richardson is physically situated at the following location: 1101 Beacon Street, Brookline, MA, 2446.

What is Lars Carver Richardson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lars Carver Richardson's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date was the 1922022649 assigned to Lars Carver Richardson?

The Lars Carver Richardson was issued its 1922022649 on 2006-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Lars Carver Richardson most recently updated?

The details pertaining to the Lars Carver Richardson, including its address, specialty, and other relevant information, were last refreshed on 2009-03-18.

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