Basic Information
Provider Information
NPI: 1073007332
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LALPUTAN
FirstName: ARIANNA
MiddleName: FAYE
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1338 VETERANS HWY APT M10
Address2:  
City: LEVITTOWN
State: PA
PostalCode: 190562012
CountryCode: US
TelephoneNumber: 5712466509
FaxNumber:  
Practice Location
Address1: 501 BATH RD
Address2:  
City: BRISTOL
State: PA
PostalCode: 190073101
CountryCode: US
TelephoneNumber: 2157859200
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/20/2018
LastUpdateDate: 06/20/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XOT018688PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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