Healthcare Provider Details

I. General information

NPI: 1649730193
Provider Name (Legal Business Name): EUGENE LAPSHIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7337 CARITAS CIR NW STE 270
MASSILLON OH
44646-9126
US

IV. Provider business mailing address

189 S HAMETOWN RD
COPLEY OH
44321-1215
US

V. Phone/Fax

Practice location:
  • Phone: 330-830-6202
  • Fax: 330-834-9765
Mailing address:
  • Phone: 440-681-0608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number35.148876
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.148876
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: