Provider Demographics
NPI:1477337111
Name:LAPIN, OLEKSANDR (NP)
Entity type:Individual
Prefix:
First Name:OLEKSANDR
Middle Name:
Last Name:LAPIN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 W 5TH ST APT 15E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4817
Mailing Address - Country:US
Mailing Address - Phone:917-808-0836
Mailing Address - Fax:
Practice Address - Street 1:2930 W 5TH ST APT 15E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4817
Practice Address - Country:US
Practice Address - Phone:917-808-0836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF311461363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health