Healthcare Provider Details

I. General information

NPI: 1427089275
Provider Name (Legal Business Name): SHELDON I LAPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 10/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1234 19TH ST NW SUITE 610
WASHINGTON DC
20036-2442
US

IV. Provider business mailing address

1234 19TH ST NW STE 900
WASHINGTON DC
20036-2439
US

V. Phone/Fax

Practice location:
  • Phone: 202-223-9020
  • Fax: 202-728-0874
Mailing address:
  • Phone: 202-677-6690
  • Fax: 202-677-6691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberP0356
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: