Provider Demographics
NPI:1003837287
Name:LAPITE, OLADAPO (MD)
Entity Type:Individual
Prefix:DR
First Name:OLADAPO
Middle Name:
Last Name:LAPITE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 STONE AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-8523
Mailing Address - Country:US
Mailing Address - Phone:318-323-1040
Mailing Address - Fax:318-323-1134
Practice Address - Street 1:306 STONE AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-8523
Practice Address - Country:US
Practice Address - Phone:318-323-1040
Practice Address - Fax:318-323-1134
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11338R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1665479Medicaid
LA1665479Medicaid
LAG14578Medicare UPIN