Provider Demographics
NPI:1962466359
Name:LAPP, M ALEXANDER (OTR/L,CHT)
Entity Type:Individual
Prefix:MR
First Name:M
Middle Name:ALEXANDER
Last Name:LAPP
Suffix:
Gender:M
Credentials:OTR/L,CHT
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:ALEXANDER
Other - Last Name:LAPP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L,CHT
Mailing Address - Street 1:1145 BROADWAY FL 2
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4201
Mailing Address - Country:US
Mailing Address - Phone:206-860-2210
Mailing Address - Fax:206-860-2296
Practice Address - Street 1:904 7TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1132
Practice Address - Country:US
Practice Address - Phone:206-860-2210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00002918225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8339863Medicaid
WA0124131OtherDEPT. OF LABOR&INDUSTRIES
WAA010OtherTRICARE
WA8932818OtherCRIME VICTUMS
WALA2468OtherREGENCE
WA8339863Medicaid