Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | D0080036 | MD |
NPI | 1003286436 |
---|---|
Provider Name | Brenda Lapkovsky |
First Address | Somerville, NJ 08876-2519 |
Second Address | Somerville, NJ 08876-2519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2015 |
Last Update Date | 28/09/2015 |