Healthcare Provider Details

I. General information

NPI: 1922141746
Provider Name (Legal Business Name): RICHARD D LAPPEN O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 JEFFERSON ST
GREENSBURG PA
15601-5518
US

IV. Provider business mailing address

1821 JEFFERSON ST
GREENSBURG PA
15601-5518
US

V. Phone/Fax

Practice location:
  • Phone: 724-837-5350
  • Fax: 724-837-5352
Mailing address:
  • Phone: 724-837-5350
  • Fax: 724-837-5352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOE005666T
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: