Provider Demographics
NPI:1417063512
Name:LAPPIN, WILLIAM M (DPM)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:M
Last Name:LAPPIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4884 ROME-NEW LONDON RD
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440
Mailing Address - Country:US
Mailing Address - Phone:315-339-2492
Mailing Address - Fax:
Practice Address - Street 1:104 TABERG RD
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NY
Practice Address - Zip Code:13316
Practice Address - Country:US
Practice Address - Phone:315-245-0232
Practice Address - Fax:315-245-4522
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032123183500000X
NYN005230213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY998765OtherMVP
NY01607143Medicaid
NY040426013901OtherFIDELIS
NY5078430001Medicare NSC
NY040426013901OtherFIDELIS
NY55733BMedicare PIN