Richardson, Lars Carver

Richardson, Lars Carver is an individual health care provider with primary practice located at 1101 Beacon Street Suite 5W, Brookline MA 02446. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Richardson, Lars Carver can be contacted via phone (617) 232-2663.

Contact Information

Primary practice address
1101 Beacon Street Suite 5W Brookline MA 02446
Phone: (617) 232-2663
Fax: (617) 232-6342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 204502 Massachusetts
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 204502 Massachusetts

Profile Details

NPI number 1922022649
LBN Legal business name Richardson, Lars Carver
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 18th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922022649 NPPES
Massachusetts Other 204502 TUFTS
Massachusetts Other 5523775002 TUFTS
Massachusetts Other 380493 TUFTS
Massachusetts Other J22212 TUFTS
Massachusetts Other 172792 TUFTS
Massachusetts MEDICAID 3206629 TUFTS
Massachusetts Other 7585085 TUFTS

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