Provider Demographics
NPI:1568675668
Name:DR ERNEST D LAPIERRE LLC
Entity Type:Organization
Organization Name:DR ERNEST D LAPIERRE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ADVANCE PRACTICE NURSE
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:LAPIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:DSN RN APN C
Authorized Official - Phone:609-397-0790
Mailing Address - Street 1:1 FEEDER ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08530-1861
Mailing Address - Country:US
Mailing Address - Phone:609-397-0790
Mailing Address - Fax:609-397-0791
Practice Address - Street 1:1 FEEDER ST
Practice Address - Street 2:
Practice Address - City:LUMBERTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08530-1861
Practice Address - Country:US
Practice Address - Phone:609-397-0790
Practice Address - Fax:609-397-0791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC05968000363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
S34012Medicare UPIN
036998AEMMedicare PIN
026361Medicare ID - Type Unspecified
036998R5VMedicare ID - Type Unspecified