Basic Information
Provider Information
NPI: 1568720647
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAPEDIS
FirstName: CATHRYN
MiddleName: JANE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BYRNE-DUGAN
OtherFirstName: CATHRYN
OtherMiddleName: JANE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 3621 SOUTH STATE STREET
Address2: 700 KMS PLACE
City: ANN ARBOR
State: MI
PostalCode: 48108
CountryCode: US
TelephoneNumber: 7349362047
FaxNumber:  
Practice Location
Address1: 1500 EAST MEDICAL CENTER DRIVE
Address2: 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
City: ANN ARBOR
State: MI
PostalCode: 481095054
CountryCode: US
TelephoneNumber: 8008627284
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/26/2012
LastUpdateDate: 06/14/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0101X4301109036MIY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
207ZP0102XUNKNOWNMAN Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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