Provider Demographics
NPI:1902012065
Name:KEVIN H LAPOFF, DPM
Entity Type:Organization
Organization Name:KEVIN H LAPOFF, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:LAPOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-968-2222
Mailing Address - Street 1:6422 LAKE WORTH RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3008
Mailing Address - Country:US
Mailing Address - Phone:561-968-2222
Mailing Address - Fax:561-641-4566
Practice Address - Street 1:6422 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-3008
Practice Address - Country:US
Practice Address - Phone:561-968-2222
Practice Address - Fax:561-641-4566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP0001948213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1277040001Medicare NSC
FL39509AMedicare ID - Type UnspecifiedGROUP MEDICARE #
FLU12759Medicare UPIN