Healthcare Provider Details

I. General information

NPI: 1215249495
Provider Name (Legal Business Name): LANA ELIZABETH SCHAPIRO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LANA ELIZABETH BORDY MD

II. Dates (important events)

Enumeration Date: 07/05/2010
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 WALNUT ST STE 809
PHILADELPHIA PA
19102-2905
US

IV. Provider business mailing address

1601 WALNUT ST STE 809
PHILADELPHIA PA
19102-2905
US

V. Phone/Fax

Practice location:
  • Phone: 215-219-2813
  • Fax:
Mailing address:
  • Phone: 215-219-2813
  • Fax: 877-846-9237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD463107
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberMD463107
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: