Provider Demographics
NPI:1336849611
Name:LAPEER, RYAN JOHN (RN)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:JOHN
Last Name:LAPEER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:RYAN
Other - Middle Name:
Other - Last Name:LAPEER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:16757 STRICKER AVE
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-3017
Mailing Address - Country:US
Mailing Address - Phone:810-602-9071
Mailing Address - Fax:
Practice Address - Street 1:16757 STRICKER AVE
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-3017
Practice Address - Country:US
Practice Address - Phone:810-602-9071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704199311163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse