Healthcare Provider Details

I. General information

NPI: 1477229920
Provider Name (Legal Business Name): STEPHANIE MARIE LAPIANA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2021
Last Update Date: 11/25/2024
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3041 ORCHARD PARK RD STE C
ORCHARD PARK NY
14127-1238
US

IV. Provider business mailing address

199 PARK CLUB LN STE 500
WILLIAMSVILLE NY
14221-5269
US

V. Phone/Fax

Practice location:
  • Phone: 716-674-3104
  • Fax: 716-674-0666
Mailing address:
  • Phone: 716-845-1300
  • Fax: 716-674-0666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number026750
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: