Provider Demographics
NPI:1912182619
Name:LEMPERT, LARISSA (MD)
Entity Type:Individual
Prefix:DR
First Name:LARISSA
Middle Name:
Last Name:LEMPERT
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 1:736 AVE X
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6121
Mailing Address - Country:US
Mailing Address - Phone:718-874-0046
Mailing Address - Fax:347-586-0036
Practice Address - Street 1:50 COURT ST
Practice Address - Street 2:STE 511
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4848
Practice Address - Country:US
Practice Address - Phone:718-874-0046
Practice Address - Fax:347-586-0036
Is Sole Proprietor?:No
Enumeration Date:2008-01-01
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2440262084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology