Provider Demographics
NPI:1548245699
Name:MCGINNESS, LAWRENCE EDWARD (DPM)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:EDWARD
Last Name:MCGINNESS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:900 CUMMINGS CTR
Mailing Address - Street 2:STE 309V
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6181
Mailing Address - Country:US
Mailing Address - Phone:978-922-0288
Mailing Address - Fax:978-927-6265
Practice Address - Street 1:900 CUMMINGS CTR
Practice Address - Street 2:SUITE 119-W
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6198
Practice Address - Country:US
Practice Address - Phone:978-922-0288
Practice Address - Fax:978-927-6265
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1520213ES0103X, 213ES0000X, 213ES0131X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA123338OtherJOHN HANCOCK
MA72664OtherAETNA / US HEALTHCARE
MA001520OtherTUFTS HEALTH PLAN
MA0128464OtherCIGNA
MAS018387OtherCHAMPUS
MA27-00015OtherUNITED HEALTHCARE
MA32620OtherFALLON COMMUNITY HEALTH
MA480000403OtherRETIRED RAILROAD MEDICARE
MAY70654OtherBLUE CROSS BLUE SHIELD
MA458130OtherCIGNA HEALTHSOURCE
MA33588OtherHARVARD PILGRIM HEALTH CA
Y70654Medicare ID - Type Unspecified