Healthcare Provider Details

I. General information

NPI: 1306990957
Provider Name (Legal Business Name): ALLEN LAPEY MD PROPRIETORSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 02/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 WILLARD ST SUITE 2C
QUINCY MA
02169
US

IV. Provider business mailing address

111 WILLARD ST SUITE 2C
QUINCY MA
02169
US

V. Phone/Fax

Practice location:
  • Phone: 617-770-0774
  • Fax: 617-328-4028
Mailing address:
  • Phone: 617-770-0774
  • Fax: 617-328-4028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number32514
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number32514
License Number StateMA

VIII. Authorized Official

Name: ALLEN LAPEY
Title or Position: PROPRIETOR
Credential: MD
Phone: 617-770-0774