Provider Demographics
NPI:1295021319
Name:TAPAGER, LEE (DOM, AP)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:
Last Name:TAPAGER
Suffix:
Gender:F
Credentials:DOM, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6670 RAT RD
Mailing Address - Street 2:
Mailing Address - City:BOKEELIA
Mailing Address - State:FL
Mailing Address - Zip Code:33922-3710
Mailing Address - Country:US
Mailing Address - Phone:239-283-7678
Mailing Address - Fax:
Practice Address - Street 1:6670 RAT RD
Practice Address - Street 2:
Practice Address - City:BOKEELIA
Practice Address - State:FL
Practice Address - Zip Code:33922-3710
Practice Address - Country:US
Practice Address - Phone:239-283-7678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1582171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist