Healthcare Provider Details

I. General information

NPI: 1225167356
Provider Name (Legal Business Name): MARIANNE ELIZABETH LAPOINTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIANNE ELIZABETH LAPOINTE FNP PA-C

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 02/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 COURT ST STE 7
JACKSON CA
95642-2154
US

IV. Provider business mailing address

10470 OLD PLACERVILLE RD STE 100
SACRAMENTO CA
95827-2539
US

V. Phone/Fax

Practice location:
  • Phone: 209-223-2034
  • Fax: 209-223-2038
Mailing address:
  • Phone: 800-470-0071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4734
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA12260
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: