Provider Demographics
NPI:1003088154
Name:LAPEZE, LISA R (DO)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:R
Last Name:LAPEZE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:R
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:BARKER
Mailing Address - State:TX
Mailing Address - Zip Code:77413-0116
Mailing Address - Country:US
Mailing Address - Phone:281-599-7334
Mailing Address - Fax:281-599-7040
Practice Address - Street 1:18338 KINGSLAND BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1262
Practice Address - Country:US
Practice Address - Phone:281-599-7334
Practice Address - Fax:281-599-7040
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6767208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics