MEDICARE: ALANA VIOLETTE LAPITAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1679377063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALANA VIOLETTE LAPITAN

Provider Business Mailing Address
First Line	:	6108 N KARLOV AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-5206
Country	:	US
Telephone Number	:	773-569-6159
Fax Number	:

Provider Business Practice Location Address
First Line	:	560 N 15TH STREET, SC150
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53201-1881
Country	:	US
Telephone Number	:	414-288-5790
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2025
Last Update Date	:	04/03/2025

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