Basic Information
Provider Information
NPI: 1841604238
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAPCHENKO
FirstName: MARIA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 13579
Address2:  
City: READING
State: PA
PostalCode: 196123579
CountryCode: US
TelephoneNumber: 4846281324
FaxNumber:  
Practice Location
Address1: 420 S 5TH AVE
Address2:  
City: WEST READING
State: PA
PostalCode: 196112143
CountryCode: US
TelephoneNumber: 4846288070
FaxNumber: 4846285289
Other Information
ProviderEnumerationDate: 06/13/2014
LastUpdateDate: 09/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084F0202XOS020116PAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
2084P0800XOS020116PAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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