Healthcare Provider Details

I. General information

NPI: 1386573301
Provider Name (Legal Business Name): ELIZABETH LAPPLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 7TH ST
EUREKA CA
95501-0226
US

IV. Provider business mailing address

4 7TH ST
EUREKA CA
95501-0226
US

V. Phone/Fax

Practice location:
  • Phone: 707-502-3255
  • Fax: 707-798-1321
Mailing address:
  • Phone: 707-502-3255
  • Fax: 707-798-1321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberRT1434600326
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: