MEDICARE: DR. LARA GAYLE CHEPENIK M.D. PH.D.

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	174400000X	Specialist	03-475625	CT

General Provider Information

NPI Number	:	1528265444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARA GAYLE CHEPENIK M.D. PH.D.

Provider Business Mailing Address
First Line	:	1009 ABBEY CT
Second Line	:
City	:	ORANGE
State	:	CT
Zip	:	06477-1111
Country	:	US
Telephone Number	:	203-785-6394
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 GEORGE ST
Second Line	:	DEPARTMENT OF PSYCHIATRY, SUITE 901
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-6624
Country	:	US
Telephone Number	:	203-785-6394
Fax Number	:

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1093798860 — MS. STEFANIE ANNE GENERAO NP
Practice Location Address:

300 GEORGE ST
NEW HAVEN, CT
06511-6624

Practice Phone: 916-734-5538
Practice Fax:

1679511299 — DR. HILARY PATRICIA BLUMBERG M.D.
Practice Location Address:

300 GEORGE ST , SUITE 901
NEW HAVEN, CT
06511-6624

Practice Phone: 203-785-6195
Practice Fax: 203-737-2513

1689767378 — EMRE U SELI M.D.
Practice Location Address:

300 GEORGE ST STE 770
NEW HAVEN, CT
06511-6624

Practice Phone: 203-785-4018
Practice Fax: 203-785-7134

1336227172 — DR. ALEXANDRA J. LANSKY MD
Practice Location Address:

300 GEORGE ST , SUITE 759
NEW HAVEN, CT
06511-6624

Practice Phone: 203-737-2142
Practice Fax: 203-737-6118

1396871711 — ILSE R. WIECHERS MD
Practice Location Address:

300 GEORGE ST , SUITE 901
NEW HAVEN, CT
06511-6624

Practice Phone: 203-785-2117
Practice Fax:

Directions to “ DR. LARA GAYLE CHEPENIK M.D. PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.