Healthcare Provider Details

I. General information

NPI: 1073973178
Provider Name (Legal Business Name): JAMES EDUARD LANPHEAR II R.N.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2016
Last Update Date: 03/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 BERKSHIRE AVE
SHARON MA
02067-1830
US

IV. Provider business mailing address

38 BERKSHIRE AVE
SHARON MA
02067-1830
US

V. Phone/Fax

Practice location:
  • Phone: 617-860-2105
  • Fax: 508-762-1692
Mailing address:
  • Phone: 617-860-2105
  • Fax: 508-762-1692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2281348
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: