Healthcare Provider Details
I. General information
NPI: 1851308993
Provider Name (Legal Business Name): PATRICIA GALLAGHER LAPKIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/02/2006
Last Update Date: 07/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
515 28 3/4 RD
GRAND JUNCTION CO
81501-5016
US
IV. Provider business mailing address
715 HORIZON DR STE 225
GRAND JUNCTION CO
81506-8743
US
V. Phone/Fax
- Phone: 970-241-6023
- Fax: 970-242-8330
- Phone: 970-683-7131
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | 50453 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 50453 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: