Jens H Lauridsen, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

36347 Issued in MA

Practice address

63 Park St
Suite #11
Andover, MA 01810-3662

Phone

(978) 475-7700

Fax

(978) 475-5524

NPI assigned

Jan 20, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376696328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 THORNTON ST",
            "address_2": "P.O.BOX 2912",
            "city": "SEABROOK",
            "state": "NH",
            "postal_code": "038745108",
            "telephone_number": "603-479-3261",
            "fax_number": "978-475-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PARK ST",
            "address_2": "SUITE #11",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103662",
            "telephone_number": "978-475-7700",
            "fax_number": "978-475-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURIDSEN",
        "first_name": "JENS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "36347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Larkin, M.ED
• Eve Larochelle Faucher, IBCLC, RLC
• Andrea Mohr Larsen, MS,OTR/L
• Larry L Larsen, PHD
• Alexis Latsey, RN
• Elane Dorothy Lee, NP
• Karen Barnico Lee, LICSW
• Olivia Leitzke
• Paul N Lemaitre, M.D.
• Courtney Lemire

• Cardiovascular Disease Physician in Andover, MA
• Providers in Andover, MA by specialty
• Cardiovascular Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.