Provider Demographics
NPI:1356439244
Name:LAPP, KATHLEEN G (MD)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:G
Last Name:LAPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 CONNER DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7039
Mailing Address - Country:US
Mailing Address - Phone:919-932-7630
Mailing Address - Fax:
Practice Address - Street 1:109 CONNER DR
Practice Address - Street 2:SUITE 204
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7039
Practice Address - Country:US
Practice Address - Phone:919-932-7630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8913636Medicaid
NCI12292Medicare UPIN
NC8913636Medicaid