Healthcare Provider Details

I. General information

NPI: 1174587331
Provider Name (Legal Business Name): PAUL E LAPCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 02/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 W SAMPLE RD SUITE 103
POMPANO BEACH FL
33064-3547
US

IV. Provider business mailing address

900 NW 13TH ST SUITE 206
BOCA RATON FL
33486-2350
US

V. Phone/Fax

Practice location:
  • Phone: 954-942-6868
  • Fax: 954-942-6854
Mailing address:
  • Phone: 561-391-3333
  • Fax: 561-391-5618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: