Healthcare Provider Details

I. General information

NPI: 1083681332
Provider Name (Legal Business Name): KRISTEN E LACHAPELL MS, GNP-BC, APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN E LUGGER NP

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 03/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6425 W MEQUON RD
MEQUON WI
53092-1855
US

IV. Provider business mailing address

PO BOX 1239
TROY MI
48099-1239
US

V. Phone/Fax

Practice location:
  • Phone: 262-236-6602
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2786-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number0208183
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: