Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 4301404978 | MI |
NPI | 1124008842 |
---|---|
Provider Name | Dr. Lawrence G Rapp |
First Address | Clarkston, MI 48346-2078 |
Second Address | Clarkston, MI 48346-2078 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000003417 | CAPE HEALTH PLAN (01) | MI |
0004632168 | AETNA HEALTH PLANS (01) | MI |
0992212 | HEALTH PLUS OF MICHIGAN (01) | MI |
104339 | PREFERRED CHOICES (01) | MI |
140005777 | RAILROAD MEDICARE (01) | MI |
3439520 | (05) | MI |
700F318300 | BLUE CROSS BLUE SHIELD (01) | MI |
C5501 | M-CARE (01) | MI |
E49637 | (02) | MI |