Provider Demographics
NPI:1760446868
Name:LAPOSKY, DAVID W (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:LAPOSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:MN
Mailing Address - Zip Code:56441
Mailing Address - Country:US
Mailing Address - Phone:218-546-7000
Mailing Address - Fax:218-546-4400
Practice Address - Street 1:180 JORDAN LANE
Practice Address - Street 2:
Practice Address - City:LONGVILLE
Practice Address - State:MN
Practice Address - Zip Code:56655
Practice Address - Country:US
Practice Address - Phone:218-587-4416
Practice Address - Fax:218-587-2677
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN30274207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN104385400Medicaid
MN104385400Medicaid
MN089000218Medicare ID - Type Unspecified