Provider Demographics
NPI:1760809941
Name:LAPE, ALEXANDRA
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:LAPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1682 CLARA AVE
Mailing Address - Street 2:
Mailing Address - City:FORTUNA
Mailing Address - State:CA
Mailing Address - Zip Code:95540-3814
Mailing Address - Country:US
Mailing Address - Phone:707-599-6589
Mailing Address - Fax:707-599-6589
Practice Address - Street 1:1682 CLARA AVE
Practice Address - Street 2:
Practice Address - City:FORTUNA
Practice Address - State:CA
Practice Address - Zip Code:95540-3814
Practice Address - Country:US
Practice Address - Phone:707-599-6589
Practice Address - Fax:707-599-6589
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-25
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTHW000003383374J00000X
176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No176B00000XOther Service ProvidersMidwife