Provider Demographics
NPI:1083681332
Name:LACHAPELL, KRISTEN E (MS, GNP-BC, APNP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:E
Last Name:LACHAPELL
Suffix:
Gender:F
Credentials:MS, GNP-BC, APNP
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:E
Other - Last Name:LUGGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 1239
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48099-1239
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6425 W MEQUON RD
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-1855
Practice Address - Country:US
Practice Address - Phone:262-236-6602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI0208183363LG0600X
WI2786-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41279500Medicaid
WI41279500Medicaid