Provider Demographics
NPI:1598723983
Name:LAPETINA, JOANNE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:ELIZABETH
Last Name:LAPETINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N MOORELAND RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-7160
Mailing Address - Country:US
Mailing Address - Phone:804-741-5591
Mailing Address - Fax:
Practice Address - Street 1:7101 JAHNKE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4017
Practice Address - Country:US
Practice Address - Phone:804-323-8911
Practice Address - Fax:804-741-1104
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-02539207R00000X, 208000000X, 208M00000X
OK33294208M00000X
VA0101046642207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005809916Medicaid
VA005882958Medicaid
VA005810060Medicaid
F62675Medicare UPIN
VA005882958Medicaid
VA000866C67Medicare PIN
VA005809916Medicaid
VA014095V21Medicare PIN