Individual
KEANU KALANI LAPOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
30 MEDICAL CENTER BLVD, CHESTER, PA 19013-3955
(856) 404-4044
Mailing address
424 LINCOLN RD, PILESGROVE, NJ 08098-3227
(856) 404-4044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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