Healthcare Provider Details

I. General information

NPI: 1639531981
Provider Name (Legal Business Name): CHRISTOPHER ROY LACHAPELLE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2016
Last Update Date: 08/06/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N MEDICAL DR
SALT LAKE CITY UT
84132-0002
US

IV. Provider business mailing address

30 N MARIO CAPECCHI DR. HELIX TOWER - 4TH FLOOR
SALT LAKE CITY UT
84112
US

V. Phone/Fax

Practice location:
  • Phone: 801-581-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number12810396-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: