| Mr Miguel Eduardo Tobon Lascano, MD | |
| 31 Burlington Mall Roaf, Burlington, MA 01805-0001 | |
| (781) 744-5100 | |
| Not Available | 
| Full Name | Mr Miguel Eduardo Tobon Lascano | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 31 Burlington Mall Roaf, Burlington, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447670450 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 4301505668 (Michigan) | Primary | 
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary | 
| Entity Name | University Physician Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Miguel Eduardo Tobon Lascano, MD 31 Burlington Mall Rd, Burlington, MA 01803-4138 Ph: (941) 266-6770 | Mr Miguel Eduardo Tobon Lascano, MD 31 Burlington Mall Roaf, Burlington, MA 01805-0001 Ph: (781) 744-5100 | 
| Helen Sarah Quinn, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8940 | |
| Bartholomew J Kane, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-2500 Fax: 781-744-5743 | |
| Dr. Guillaume Georges Kugener, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 41 Burlington Mall Road, Burlington, MA 01805 Phone: 178-174-4510 | |
| Dr. Stephen Eric Karp, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8800 Fax: 781-744-5636 | |
| Christina Marcheva Vassileva, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
| Peter Marcinkowski,  Surgery Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
| Dr. John Pin Wei, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic, Burlington, MA 01805 Phone: 781-744-5100 Fax: 781-744-5215 |