Provider Demographics
NPI:1033326269
Name:MUELLER, LARS (MD)
Entity Type:Individual
Prefix:
First Name:LARS
Middle Name:
Last Name:MUELLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:LARS
Other - Middle Name:
Other - Last Name:MULLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:179 LONGWOOD AVE
Mailing Address - Street 2:APT 3018
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5804
Mailing Address - Country:US
Mailing Address - Phone:617-838-5122
Mailing Address - Fax:617-730-0934
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:CHILDREN'S HOSPITAL BOSTON, KARP BUILDING 08125.4
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-838-5122
Practice Address - Fax:617-730-0934
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2346072080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology