Provider Demographics
NPI:1457364382
Name:LAPIDUS, CANDACE S (MD)
Entity Type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:S
Last Name:LAPIDUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CANDACE
Other - Middle Name:LAPIDUS
Other - Last Name:SLOANE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-0247
Mailing Address - Country:US
Mailing Address - Phone:401-499-4999
Mailing Address - Fax:
Practice Address - Street 1:5 SPINNAKER DR
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-2831
Practice Address - Country:US
Practice Address - Phone:401-499-4999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI10201207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI709004108OtherGROUP MEDICARE
RICL30881Medicaid
RICL30881Medicaid
RI007057635Medicare PIN