Provider Demographics
NPI:1215249495
Name:SCHAPIRO, LANA ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:LANA
Middle Name:ELIZABETH
Last Name:SCHAPIRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LANA
Other - Middle Name:ELIZABETH
Other - Last Name:BORDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1601 WALNUT ST STE 809
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-2905
Mailing Address - Country:US
Mailing Address - Phone:215-219-2813
Mailing Address - Fax:
Practice Address - Street 1:1601 WALNUT ST STE 809
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-2905
Practice Address - Country:US
Practice Address - Phone:215-219-2813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-05
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4631072080P0006X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1034515630005Medicaid