Healthcare Provider Details
I. General information
NPI: 1538103429
Provider Name (Legal Business Name): RANDI JILL LAPOINT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/15/2006
Last Update Date: 01/07/2021
Certification Date: 01/07/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4701 OGLETOWN STANTON RD STE 4200
NEWARK DE
19713-2075
US
IV. Provider business mailing address
4701 OGLETOWN STANTON RD STE 4200
NEWARK DE
19713-2075
US
V. Phone/Fax
- Phone: 302-737-7700
- Fax: 302-737-5407
- Phone: 302-737-7700
- Fax: 302-737-5407
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | C1-0008818 |
| License Number State | DE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZC0500X |
| Taxonomy | Cytopathology Physician |
| License Number | C1-0008818 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: