{
"Npi": {
"NPI": "1285674028",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LAPO",
"FirstName": "CHARLES",
"MiddleName": "H",
"NamePrefix": "DR.",
"NameSuffix": "II",
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "200 W LAKE ST",
"SecondLineMailingAddress": "STE 2",
"MailingAddressCityName": "PETOSKEY",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49770-2367",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "231-348-2074",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2206 MITCHELL PARK DR",
"SecondLinePracticeLocationAddress": "STE 10",
"PracticeLocationAddressCityName": "PETOSKEY",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49770-8674",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "231-487-2415",
"PracticeLocationAddressFaxNumber": "231-487-6569",
"EnumerationDate": "06/08/2006",
"LastUpdateDate": "04/11/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "2084P0800X",
"TaxonomyName": "Psychiatry Physician",
"LicenseNumber": "44634",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2084P0800X",
"TaxonomyName": "Psychiatry Physician",
"LicenseNumber": "4301089286",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}