Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD440356 | PA |
Y | 111NI0900X | Internist | MD440356 | PA |
NPI | 1003056524 |
---|---|
Provider Name | Dr. Elmer Lacuata Apaga |
First Address | Turtle Creek, PA 15145-2085 |
Second Address | Turtle Creek, PA 15145-2085 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2009 |
Last Update Date | 01/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102485870 | (05) | PA |