MEDICARE: MEGAN LAPICTO

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	225100000X	Physical Therapist	293659	CA

General Provider Information

NPI Number	:	1316457823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN LAPICTO

Provider Business Mailing Address
First Line	:	2509 OLD QUARRY RD APT 1414
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-2763
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2509 OLD QUARRY RD APT 1414
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-2763
Country	:	US
Telephone Number	:	619-300-7792
Fax Number	:

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

Provider Enumeration Date	:	10/10/2017
Last Update Date	:	10/10/2017

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Directions to “ MEGAN LAPICTO ” Practice Location

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