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NPI Code Detail

MEDICARE: CARLY LAPIN

MEDICARE:   CARLY  LAPIN
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
1103K00000XBehavior Analyst1-15-18245

General Provider Information

NPI Number : 1720486681
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLY LAPIN
Provider Business Mailing Address
First Line : 8609 W BRYN MAWR AVE STE 204
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3524
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8609 W BRYN MAWR AVE STE 204
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3524
Country : US
Telephone Number : 847-970-0748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2014
Last Update Date : 12/20/2022

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Directions to “ CARLY LAPIN ” Practice Location

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