Basic Information
Provider Information
NPI: 1134486046
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAPINSKY
FirstName: EVAN
MiddleName: MICHAEL
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4701 OGLETOWN STANTON RD STE 3400
Address2:  
City: NEWARK
State: DE
PostalCode: 197137007
CountryCode: US
TelephoneNumber: 3023661200
FaxNumber: 2159556410
Practice Location
Address1: 4701 OGLETOWN STANTON RD STE 3400
Address2:  
City: NEWARK
State: DE
PostalCode: 197137007
CountryCode: US
TelephoneNumber: 3023661200
FaxNumber: 2159556410
Other Information
ProviderEnumerationDate: 04/16/2012
LastUpdateDate: 09/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD453456PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0003XC1-0013028DEY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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