Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 32302 | TX |
NPI | 1063871127 |
---|---|
Provider Name | Dr. Christopher Lachapelle-Lampkin |
First Address | Round Rock, TX 78681-1513 |
Second Address | Round Rock, TX 78681-1513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2016 |
Last Update Date | 02/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
362709301 | (05) | TX |