Provider Demographics
NPI:1679936819
Name:LAPP, DEREK ALAN (DO)
Entity type:Individual
Prefix:
First Name:DEREK
Middle Name:ALAN
Last Name:LAPP
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1272 W MAIN ST STE 204
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-2055
Mailing Address - Country:US
Mailing Address - Phone:220-564-1740
Mailing Address - Fax:220-564-1741
Practice Address - Street 1:1272 W MAIN ST STE 204
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-2055
Practice Address - Country:US
Practice Address - Phone:220-564-1740
Practice Address - Fax:220-564-1741
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.015214207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism