Provider Demographics
NPI:1205194958
Name:LAPSEY, DIONNE MICSHOUN
Entity Type:Individual
Prefix:
First Name:DIONNE
Middle Name:MICSHOUN
Last Name:LAPSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4915 WOODMAN PARK DR APT 7
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45432-1120
Mailing Address - Country:US
Mailing Address - Phone:937-369-6193
Mailing Address - Fax:
Practice Address - Street 1:4915 WOODMAN PARK DR APT 7
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45432-1120
Practice Address - Country:US
Practice Address - Phone:937-369-6193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH131528164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse