DR. LUCILLE E KANJER-LARSON (NPI# 1225010358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225010358 |
| Entity Type | Individual |
| Full Name | DR. LUCILLE E KANJER-LARSON |
| Credential | M.D. |
| Practice Address |
201 Highland St Clinton MA 01510-1037 |
| Mailing Address |
Po Box 415348 Boston MA 02241-0001 |
| Practice Telephone | 9783683816 |
| Practice Fax Number | 9783683955 |
| Mailing Telephone | 8002258885 |
| Mailing Fax Number | 5083341977 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2009-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 161078 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3199738 | 05 |
| Street Address |
201 HIGHLAND ST |
| City | CLINTON |
| State | MA |
| Zip Code | 01510-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812280 | Ronald G. Lavenda | Podiatrist | 201 Highland St, Suite C Clinton Hospital, Clinton, MA 01510-1037 | 2005-06-22 |
| 1205478708 | Laura Joan Cerundolo | Dietitian, Registered | 201 Highland St, Clinton, MA 01510-1037 | 2019-10-16 |
| 1255816682 | Michelle Serena Iorio | Nurse Practitioner | 201 Highland St, Clinton, MA 01510-1037 | 2018-10-02 |
| 1285171934 | Umass Memorial Healthalliance Clinton Hospital Inc | Psychiatric Unit | 201 Highland St, Clinton, MA 01510-1037 | 2017-01-19 |
| 1841663994 | Jennifer Baer | Physical Therapist | 201 Highland St, Clinton, MA 01510-1037 | 2015-11-10 |
| 1962870345 | Brenda Jean Ferguson | Nurse Practitioner | 201 Highland St, Clinton, MA 01510-1037 | 2015-09-02 |
| 1821415035 | Sreekiran Thotakura | Family Medicine | 201 Highland St, Clinton, MA 01510-1037 | 2014-03-25 |
| 1528348745 | Tammy Lynn Chamberland | Nurse Practitioner | 201 Highland St, Clinton, MA 01510-1037 | 2011-08-18 |
| 1285927343 | Joshua A. Orabone | Internal Medicine | 201 Highland St, Clinton, MA 01510-1037 | 2011-05-24 |
| 1972734952 | Venubabu Kandimalla | Internal Medicine | 201 Highland St, Clinton, MA 01510-1037 | 2009-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861880585 | Counseling & Assesment Clinic | Community/Behavioral Health | 1 Coolidge Pl Suit 712, Clinton, MA 01510 | 2015-01-05 |
| 1306274121 | Patricia Iorio | Dietitian, Registered | 602 Devenwood Way, Clinton, MA 01510 | 2013-10-15 |
| 1366715773 | Norah E Mcnally | Dietitian, Registered | 56 Beech Street, Clinton, MA 01510 | 2012-02-15 |
| 1891859708 | Param B Singh | Internal Medicine | 201 Highland Sreet, Clinton, MA 01510 | 2006-12-22 |
| 1073824843 | Stacy Temple | Dentist | 200 High St, Edward M. Kennedy Community Health Center, Clinton, MA 01510 | 2010-06-28 |
| 1942400361 | Kiran Sanjay Naik | Dentist | 200 High St, Clinton, MA 01510 | 2007-07-24 |
| 1386746865 | Maria Anna Channell | Psychologist | 221 Greeley St, Clinton, MA 01510-1029 | 2006-09-03 |
| 1871651000 | Jennifer Jane Soldano | Counselor | 221 Greeley St, Clinton, MA 01510-1029 | 2006-12-04 |
| 1215983507 | Dicie Jane Niggl | Nurse Practitioner | 201 Highland St Ste 1, Clinton Hospital, Clinton, MA 01510-1037 | 2006-05-26 |
| 1578622031 | Marianne Monet Willey Trotter | Family Medicine | 201 Highland St Ste 1, Clinton, MA 01510-1037 | 2006-12-08 |
| Find all providers in zip 01510 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811307010 | Nermeen Nadeem Baseer | Pediatrics | 1477 N 2000 W Ste C, Clinton, UT 84015-9099 | 2014-04-28 |
| 1881945475 | Lighthouse Pediatric & After Hours Clinic, Pa | Pediatrics | 501 Springridge Rd, Clinton, MS 39056-5633 | 2012-09-24 |
| 1700146909 | Jessica Hutchison Crowe | Pediatrics | 2130 N Charles Seivers Boulevard, Suite 4, Clinton, TN 37716-6705 | 2012-05-22 |
| 1932466257 | Ashley Jane Jenkins | Pediatrics | 500 Plaza Cir Ste J, Clinton, SC 29325-7559 | 2012-04-12 |
| 1154633535 | Ejeehi Umobuarie | Pediatrics | 341 S 28th St, Clinton, OK 73601-3701 | 2010-07-13 |
| 1811083785 | Louisa Emefa Lawson | Pediatrics | 210 Clinton Blvd, Clinton, MS 39056-5126 | 2006-10-05 |
| 1902917206 | Jennifer K. Myers | Pediatrics | 539c Highway 80 W, Clinton, MS 39056-4193 | 2006-08-31 |
| 1447262878 | Christina Kay Neeley | Pediatrics | 500 Plaza Cir, Suite J, Clinton, SC 29325-7559 | 2006-08-13 |
| 1235166489 | Krishna Patel | Pediatrics | 40 Pittstown Road, Hunterdon Developmental Center, Clinton, NJ 08809-4008 | 2006-06-26 |
| 1083652630 | Piedmont Pediatrics of Laurens | Pediatrics | 996 Medical Ridge Road, Clinton, SC 29325 | 2006-06-04 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.