Provider Demographics
NPI:1437131455
Name:LAPKIN, LEONARD (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:
Last Name:LAPKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 N 7TH ST
Mailing Address - Street 2:SMMG CVTS
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-8209
Mailing Address - Country:US
Mailing Address - Phone:970-298-7578
Mailing Address - Fax:970-298-1809
Practice Address - Street 1:2643 PATTERSON ROAD
Practice Address - Street 2:SUITE 403
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506
Practice Address - Country:US
Practice Address - Phone:970-298-7675
Practice Address - Fax:970-298-2984
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY6787A208G00000X
CODR0050299208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07882572Medicaid
WY117981100Medicaid
WY117981100Medicaid
E54311Medicare UPIN
CO350903ZAC1Medicare PIN