Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 094991 | OH |
NPI | 1124210802 |
---|---|
Provider Name | Dr. Justin Ross Lappen |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44195-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2007 |
Last Update Date | 05/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3035414 | (05) | OH |