Provider Demographics
NPI:1528585882
Name:LAPAT, CRISTINA JANINE (LMT)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:JANINE
Last Name:LAPAT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2596 E BARNETT RD STE B
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-4340
Mailing Address - Country:US
Mailing Address - Phone:541-727-1996
Mailing Address - Fax:888-247-8610
Practice Address - Street 1:2596 E BARNETT RD STE B
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-4340
Practice Address - Country:US
Practice Address - Phone:541-727-1996
Practice Address - Fax:888-247-8610
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR23593225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist