Provider Demographics
NPI:1497829006
Name:LAPPIN, MICHAEL BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BRUCE
Last Name:LAPPIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 N TUSTIN AVE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3611
Mailing Address - Country:US
Mailing Address - Phone:714-541-4185
Mailing Address - Fax:714-541-3465
Practice Address - Street 1:801 N TUSTIN AVE
Practice Address - Street 2:SUITE 700
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3611
Practice Address - Country:US
Practice Address - Phone:714-541-4185
Practice Address - Fax:714-541-3465
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC30285207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C302851Medicaid
CA00C302851Medicaid
CAWC30285CMedicare PIN