Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 04701520380A | NH |
N | 111N00000X | Chiropractor | 3426 | FL |
Y | 111N00000X | Chiropractor | 541 | MA |
NPI | 1003902412 |
---|---|
Provider Name | Dr. Robert Arthur Lapuck |
First Address | Brockton, MA 02301 |
Second Address | Brockton, MA 02301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1604341 | (05) | MA |