Provider Demographics
NPI:1659004695
Name:LAPID, ABIGAIL RENEE (PA-C)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:RENEE
Last Name:LAPID
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:100 KIMBALL AVE APT B17
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-6720
Mailing Address - Country:US
Mailing Address - Phone:240-920-2081
Mailing Address - Fax:
Practice Address - Street 1:602 BRANDON AVE SW STE 222
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24015-3212
Practice Address - Country:US
Practice Address - Phone:540-774-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant