Provider Demographics
NPI:1215137526
Name:LAPINEL, DEAN EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:EDWARD
Last Name:LAPINEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1437 E BRAEMERE RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-1857
Mailing Address - Country:US
Mailing Address - Phone:208-388-0233
Mailing Address - Fax:208-343-0877
Practice Address - Street 1:1437 E BRAEMERE RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-1857
Practice Address - Country:US
Practice Address - Phone:208-388-0233
Practice Address - Fax:208-343-0877
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-6542207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDD30016Medicare UPIN