Provider Demographics
NPI:1730765496
Name:INCARE LAWRENCE PLLC
Entity type:Organization
Organization Name:INCARE LAWRENCE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ESSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ANSARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-290-4245
Mailing Address - Street 1:50 DOLPHIN RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1305
Mailing Address - Country:US
Mailing Address - Phone:617-290-4245
Mailing Address - Fax:
Practice Address - Street 1:565 TURNPIKE ST STE 85
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5936
Practice Address - Country:US
Practice Address - Phone:978-689-2247
Practice Address - Fax:978-689-7305
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-23
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1639655467OtherBCBS
MA1639655467Medicaid