Provider Demographics
NPI:1194596825
Name:LAPID, GRACIA
Entity type:Individual
Prefix:
First Name:GRACIA
Middle Name:
Last Name:LAPID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7708 RUDYARD CIR
Mailing Address - Street 2:
Mailing Address - City:ANTELOPE
Mailing Address - State:CA
Mailing Address - Zip Code:95843-1910
Mailing Address - Country:US
Mailing Address - Phone:650-484-9265
Mailing Address - Fax:
Practice Address - Street 1:7708 RUDYARD CIR
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-1910
Practice Address - Country:US
Practice Address - Phone:650-484-9265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility