Healthcare Provider Details

I. General information

NPI: 1811981681
Provider Name (Legal Business Name): MICHAEL D LAPAN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 11/12/2020
Certification Date: 11/12/2020
Deactivation Date: 03/25/2006
Reactivation Date: 04/04/2006

III. Provider practice location address

214 14TH AVE SW SUITE#103
SIDNEY MT
59270-3521
US

IV. Provider business mailing address

214 14TH AVE SW
SIDNEY MT
59270-3521
US

V. Phone/Fax

Practice location:
  • Phone: 406-488-2241
  • Fax: 406-488-2543
Mailing address:
  • Phone: 406-488-2241
  • Fax: 406-488-2543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number105
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number30
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: