Provider Demographics
NPI:1154432052
Name:TAPIA, LIONEL EDWARD (MD)
Entity type:Individual
Prefix:
First Name:LIONEL
Middle Name:EDWARD
Last Name:TAPIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1232 NORTH 30TH STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0126
Mailing Address - Country:US
Mailing Address - Phone:406-238-6600
Mailing Address - Fax:406-238-6645
Practice Address - Street 1:1232 NORTH 30TH STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0126
Practice Address - Country:US
Practice Address - Phone:406-238-6600
Practice Address - Fax:406-238-6645
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7305208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0043355Medicaid
MT0043355Medicaid