Provider Demographics
NPI:1306990957
Name:ALLEN LAPEY MD PROPRIETORSHIP
Entity type:Organization
Organization Name:ALLEN LAPEY MD PROPRIETORSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-770-0774
Mailing Address - Street 1:111 WILLARD ST
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169
Mailing Address - Country:US
Mailing Address - Phone:617-770-0774
Mailing Address - Fax:617-328-4028
Practice Address - Street 1:111 WILLARD ST
Practice Address - Street 2:SUITE 2C
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169
Practice Address - Country:US
Practice Address - Phone:617-770-0774
Practice Address - Fax:617-328-4028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA325142080P0214X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric PulmonologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1049OtherHP
0005012OtherNHP NEIGHBORHOOD HEALTH P
701183OtherTUFTS
B20619102OtherCIGNA
M15064OtherBCBS
0450785OtherAETNA
MA9772316Medicaid
0450785OtherAETNA
1049OtherHP