Provider Demographics
NPI:1467443572
Name:LAPPERT, PATRICK WALTER (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:WALTER
Last Name:LAPPERT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1874 BELTLINE RD SW
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-5514
Mailing Address - Country:US
Mailing Address - Phone:256-355-5585
Mailing Address - Fax:256-350-8415
Practice Address - Street 1:1874 BELTLINE RD SW
Practice Address - Street 2:SUITE 120
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-5514
Practice Address - Country:US
Practice Address - Phone:256-355-5585
Practice Address - Fax:256-350-8415
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00026634208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H53537Medicare UPIN