Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101261191 | VA |
Y | 2080P0216X | Pediatric Rheumatologist | 0101261191 | VA |
NPI | 1508028515 |
---|---|
Provider Name | Cassyanne L Aguiar Lapsia |
First Address | New York, NY 10021-4823 |
Second Address | Norfolk, VA 23507-1910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 22/03/2021 |