Provider Demographics
NPI:1477005205
Name:LAPAGE, RICHARD (APRN)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:LAPAGE
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194A PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2903
Mailing Address - Country:US
Mailing Address - Phone:603-856-8828
Mailing Address - Fax:603-856-8813
Practice Address - Street 1:194A PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2903
Practice Address - Country:US
Practice Address - Phone:603-856-8828
Practice Address - Fax:603-856-8813
Is Sole Proprietor?:No
Enumeration Date:2016-10-27
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH067070-23363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology