Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 11338R | LA |
NPI | 1003837287 |
---|---|
Provider Name | Dr. Oladapo Lapite |
First Address | Monroe, LA 71201-8523 |
Second Address | Monroe, LA 71201-8523 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2006 |
Last Update Date | 06/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1665479 | (05) | LA |
G14578 | (02) | LA |