Healthcare Provider Details

I. General information

NPI: 1851826671
Provider Name (Legal Business Name): ALEXANDER LAPKA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2017
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W GRAND RIVER AVE STE 4
OKEMOS MI
48864-2394
US

IV. Provider business mailing address

2865 N REYNOLDS RD STE 170
TOLEDO OH
43615-2076
US

V. Phone/Fax

Practice location:
  • Phone: 517-381-6880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number5101024466
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: