MEDICARE: DR. WILLIAM FRANCIS LAPENNA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	4301042386	MI
2	207RI0011X	Interventional Cardiology Physician	4301042386	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154302347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM FRANCIS LAPENNA M.D.

Provider Business Mailing Address
First Line	:	1717 SHAFFER ST
Second Line	:	SUITE 232
City	:	KALAMAZOO
State	:	MI
Zip	:	49048-1647
Country	:	US
Telephone Number	:	269-226-5050
Fax Number	:	269-226-5034

Provider Business Practice Location Address
First Line	:	1717 SHAFFER ST
Second Line	:	SUITE 232
City	:	KALAMAZOO
State	:	MI
Zip	:	49048-1647
Country	:	US
Telephone Number	:	269-226-5050
Fax Number	:	269-226-5034

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	10/15/2024

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