Healthcare Provider Details

I. General information

NPI: 1457349516
Provider Name (Legal Business Name): KEVIN JOSEPH LAPINSKI PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 05/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E LINTON BLVD SUITE 403B
DELRAY BEACH FL
33483-3327
US

IV. Provider business mailing address

16214 VALENCIA BLVD
LOXAHATCHEE FL
33470-2813
US

V. Phone/Fax

Practice location:
  • Phone: 877-485-3161
  • Fax: 561-795-1329
Mailing address:
  • Phone: 877-485-3161
  • Fax: 561-795-1329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPY5114
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY5114
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: