Provider Demographics
NPI:1770857088
Name:LAPIN, KEVIN (NP)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:
Last Name:LAPIN
Suffix:
Gender:M
Credentials:NP
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Other - Last Name:
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Mailing Address - Street 1:55 GREENE AVENUE, LLB
Mailing Address - Street 2:C/O SUNRISE MEDICAL GROUP
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-6432
Mailing Address - Country:US
Mailing Address - Phone:718-789-5900
Mailing Address - Fax:718-233-3318
Practice Address - Street 1:55 GREENE AVENUE, LLB
Practice Address - Street 2:C/O SUNRISE MEDICAL GROUP
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-6432
Practice Address - Country:US
Practice Address - Phone:718-789-5900
Practice Address - Fax:718-233-3318
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF305967-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health