Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lars Stangenberg, MD

Individual provider Vascular Surgery Physician · NPI 1003077090

Lars Stangenberg, MD is a Vascular Surgery in Providence, Rhode Island. Qualified in 2005, 21 years ago. Practices with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc, a 1,676-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
21
Licensed in
MA, RI
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2 Dudley St Ste 470
Providence, RI 02905-3236
Phone: (401) 553-8318
Fax: (401) 868-2307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 110 Liberty St, Brockton, MA 02301-5674 — (508) 565-0452
  • 680 Centre St, Brockton, MA 02302-3308 — (508) 941-7000
  • 41 Highland Ave, Winchester, MA 01890-1446 — (781) 729-2020

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence MD15584 (RI)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 254554 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence L-236269 (MA)

Record details

NPI number1003077090
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2008
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing addressPo Box 24300, New York, NY 10087-4300

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc — 1676 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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