Provider Demographics
NPI:1952306896
Name:LAPOW, LOUIS ROBERT (DPM)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:ROBERT
Last Name:LAPOW
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:LOUIS
Other - Middle Name:R
Other - Last Name:LAPOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:4220 S 27TH ST
Mailing Address - Street 2:STE 101
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53221-1855
Mailing Address - Country:US
Mailing Address - Phone:414-281-7273
Mailing Address - Fax:414-281-9866
Practice Address - Street 1:4220 S 27TH ST
Practice Address - Street 2:STE 101
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53221-1855
Practice Address - Country:US
Practice Address - Phone:414-281-7273
Practice Address - Fax:414-281-9866
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI372025213E00000X, 213ES0103X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43200000Medicaid
WI1952306896OtherINDIVIDUAL NPI
WI43200000Medicaid
WIT62553Medicare UPIN