Provider Demographics
NPI:1164071577
Name:LAPP, MARY K (LMT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:K
Last Name:LAPP
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1516 LITITZ PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6506
Mailing Address - Country:US
Mailing Address - Phone:717-397-5810
Mailing Address - Fax:717-397-0276
Practice Address - Street 1:1516 LITITZ PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6506
Practice Address - Country:US
Practice Address - Phone:717-397-5810
Practice Address - Fax:717-397-0276
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMSG012466225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist