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Organization
YELENA LAPIDUS MD INC
Active
Organization
YELENA LAPIDUS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIRA GREGORY (BILLING/CREDENTIALING ADMINISTRATOR)
(317) 332-1189
Entity
Organization
Contact information
Practice address
6685 BAY LAUREL PLACE, AVILA BEACH, CA 93424
(805) 540-3071
(805) 540-3072
Mailing address
PO BOX 490, AVILA BEACH, CA 93424-0490
(805) 540-3071
(805) 540-3072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A88176
CA
Other
Enumeration date
02/27/2008
Last updated
03/02/2021
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