Basic Information
Provider Information
NPI: 1790920262
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAPINSKI
FirstName: LISA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: KARP
OtherFirstName: LISA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: RD
OtherLastNameType: 1
Mailing Information
Address1: 254 EASTON AVE
Address2:  
City: NEW BRUNSWICK
State: NJ
PostalCode: 089011766
CountryCode: US
TelephoneNumber: 7327458600
FaxNumber:  
Practice Location
Address1: 254 EASTON AVE
Address2:  
City: NEW BRUNSWICK
State: NJ
PostalCode: 089011766
CountryCode: US
TelephoneNumber: 7327458600
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/11/2008
LastUpdateDate: 05/28/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
133V00000X461645NJY Dietary & Nutritional Service ProvidersDietitian, Registered 

No ID Information.


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