MEDICARE: DR. LONNIE B KAPLAN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	SC006361	PA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	213EP1101X	Primary Podiatric Medicine Podiatrist	SC006361	PA

General Provider Information

NPI Number	:	1215291745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LONNIE B KAPLAN DPM

Provider Business Mailing Address
First Line	:	252 W SWAMP RD STE 2
Second Line	:
City	:	DOYLESTOWN
State	:	PA
Zip	:	18901-2465
Country	:	US
Telephone Number	:	732-763-7722
Fax Number	:

Provider Business Practice Location Address
First Line	:	252 W SWAMP RD STE 2
Second Line	:
City	:	DOYLESTOWN
State	:	PA
Zip	:	18901-2465
Country	:	US
Telephone Number	:	732-763-7722
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2012
Last Update Date	:	03/28/2015

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