Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 11506 | MA |
NPI | 1205005428 |
---|---|
Provider Name | Dr. Ira Steven Lapidus |
First Address | Williamstown, MA 01267 |
Second Address | Williamstown, MA 01267 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2008 |
Last Update Date | 21/02/2008 |