Provider Demographics
NPI:1699800243
Name:LAPPEN, JOHN EDWARD JR (PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:LAPPEN
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:26 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-5631
Mailing Address - Country:US
Mailing Address - Phone:978-921-0528
Mailing Address - Fax:978-921-0528
Practice Address - Street 1:7 ESSEX GREEN DR STE 65
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2920
Practice Address - Country:US
Practice Address - Phone:978-314-5726
Practice Address - Fax:978-921-0528
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA6188103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW05097Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID