Provider Demographics
NPI:1942417555
Name:LAPTEVA, LARISSA (MD)
Entity Type:Individual
Prefix:DR
First Name:LARISSA
Middle Name:
Last Name:LAPTEVA
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 1:10928 BLOOMINGDALE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-5535
Mailing Address - Country:US
Mailing Address - Phone:240-669-6180
Mailing Address - Fax:240-669-6180
Practice Address - Street 1:9000 ROCKVILLE PIKE,
Practice Address - Street 2:NIH, BLDG 10, OP-9
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-796-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0059470207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology