Provider Demographics
NPI:1053440354
Name:TAPIA, VICKI LEE (BS, IBCLC)
Entity Type:Individual
Prefix:MS
First Name:VICKI
Middle Name:LEE
Last Name:TAPIA
Suffix:
Gender:F
Credentials:BS, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 PARKHILL DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0660
Mailing Address - Country:US
Mailing Address - Phone:406-655-8109
Mailing Address - Fax:
Practice Address - Street 1:241 PARKHILL DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0660
Practice Address - Country:US
Practice Address - Phone:406-655-8109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0561405Medicaid