Provider Demographics
NPI:1588542393
Name:LAPE, SETH GREGORY
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:GREGORY
Last Name:LAPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 BLIND OAK CIR
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32095-0151
Mailing Address - Country:US
Mailing Address - Phone:601-754-5856
Mailing Address - Fax:
Practice Address - Street 1:10423 CENTURION PKWY N
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-0527
Practice Address - Country:US
Practice Address - Phone:904-854-2090
Practice Address - Fax:904-854-2093
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist