1205092319 NPI number — DR. MICHAEL LAURENCE LAPKIN M.D.

Table of content: DR. MICHAEL LAURENCE LAPKIN M.D. (NPI 1205092319)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205092319 NPI number — DR. MICHAEL LAURENCE LAPKIN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAPKIN
Provider First Name:
MICHAEL
Provider Middle Name:
LAURENCE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205092319
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/02/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5830 NW 25TH TER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOCA RATON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33496-2226
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-997-8039
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19615 STATE ROAD 7
Provider Second Line Business Practice Location Address:
SUITE 32
Provider Business Practice Location Address City Name:
BOCA RATON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33498-4700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-477-7700
Provider Business Practice Location Address Fax Number:
561-477-7707
Provider Enumeration Date:
07/29/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  ME96692 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 002573700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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