Provider Demographics
NPI:1467122788
Name:LAPCHYNSKI, JAKE MICHAEL
Entity Type:Individual
Prefix:
First Name:JAKE
Middle Name:MICHAEL
Last Name:LAPCHYNSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4099 GLENRICH CIR
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-2295
Mailing Address - Country:US
Mailing Address - Phone:330-907-3039
Mailing Address - Fax:
Practice Address - Street 1:4099 GLENRICH CIR
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-2295
Practice Address - Country:US
Practice Address - Phone:330-907-3039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program