Healthcare Provider Details

I. General information

NPI: 1508028515
Provider Name (Legal Business Name): CASSYANNE L AGUIAR LAPSIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CHILDRENS LN
NORFOLK VA
23507-1910
US

IV. Provider business mailing address

313 CONSERVATION XING
CHESAPEAKE VA
23320-7001
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-8572
  • Fax: 757-668-7784
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101261191
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number0101261191
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: