Provider Demographics
NPI:1750369716
Name:LAPINSKI-JURTA, CYNTHIA KATHRYN (DPM)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:KATHRYN
Last Name:LAPINSKI-JURTA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:KATHRYN
Other - Last Name:LAPINSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:33 E GREEN ST
Mailing Address - Street 2:
Mailing Address - City:NANTICOKE
Mailing Address - State:PA
Mailing Address - Zip Code:18634-2414
Mailing Address - Country:US
Mailing Address - Phone:570-735-8002
Mailing Address - Fax:570-735-8036
Practice Address - Street 1:33 E GREEN ST
Practice Address - Street 2:
Practice Address - City:NANTICOKE
Practice Address - State:PA
Practice Address - Zip Code:18634-2414
Practice Address - Country:US
Practice Address - Phone:570-735-8002
Practice Address - Fax:570-735-8036
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002870L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1079054OtherAETNA
856946OtherAETNA HMO
PA10749OtherGEISINGER
PA818744Other1ST PRIORITY
PA135759OtherBCBS
2Y8261OtherAETNA PHS
PA0010885410001Medicaid
20037019OtherAMERIHEALTH MERCY
4559951OtherAETNA PPO POS
PA135759TSXMedicare ID - Type Unspecified
PA0010885410001Medicaid