Healthcare Provider Details

I. General information

NPI: 1073567533
Provider Name (Legal Business Name): DON J LAPENAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 02/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 RISING CORNER RD
SOUTHWICK MA
01077-9535
US

IV. Provider business mailing address

4 RISING CORNER RD
SOUTHWICK MA
01077-9535
US

V. Phone/Fax

Practice location:
  • Phone: 413-348-4480
  • Fax: 888-298-8775
Mailing address:
  • Phone: 413-348-4480
  • Fax: 888-298-8775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number76643
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: