MEDICARE: DR. LOUIS ROBERT LAPOW DPM

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	213E00000X	Podiatrist	372025	WI
2	213ES0103X	Foot & Ankle Surgery Podiatrist	372025	WI
3	213ES0131X	Foot Surgery Podiatrist	372025	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1952306896	OTHER	WI	INDIVIDUAL NPI

General Provider Information

NPI Number	:	1952306896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS ROBERT LAPOW DPM

Provider Business Mailing Address
First Line	:	4220 S 27TH ST
Second Line	:	STE 101
City	:	MILWAUKEE
State	:	WI
Zip	:	53221-1855
Country	:	US
Telephone Number	:	414-281-7273
Fax Number	:	414-281-9866

Provider Business Practice Location Address
First Line	:	4220 S 27TH ST
Second Line	:	STE 101
City	:	MILWAUKEE
State	:	WI
Zip	:	53221-1855
Country	:	US
Telephone Number	:	414-281-7273
Fax Number	:	414-281-9866

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	02/12/2013

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Directions to “ DR. LOUIS ROBERT LAPOW DPM” Practice Location

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