Provider Demographics
NPI:1285774687
Name:LAPITE FAMILY PRACTICE APMC
Entity type:Organization
Organization Name:LAPITE FAMILY PRACTICE APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAPITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-323-1040
Mailing Address - Street 1:306 STONE AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-8523
Mailing Address - Country:US
Mailing Address - Phone:318-323-1040
Mailing Address - Fax:318-323-1134
Practice Address - Street 1:306 STONE AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-8523
Practice Address - Country:US
Practice Address - Phone:318-323-1040
Practice Address - Fax:318-323-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11338R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1665479Medicaid
LA1665479Medicaid
G14578Medicare UPIN