Provider Demographics
NPI:1972679702
Name:LAPPIN, ROBERTA
Entity Type:Individual
Prefix:MS
First Name:ROBERTA
Middle Name:
Last Name:LAPPIN
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:PO BOX 1187
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96721-1187
Mailing Address - Country:US
Mailing Address - Phone:808-982-8091
Mailing Address - Fax:
Practice Address - Street 1:136 KINOOLE ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2816
Practice Address - Country:US
Practice Address - Phone:808-933-0409
Practice Address - Fax:808-933-0411
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW - 31561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000253013OtherHMSA
HI0000569527Medicaid
HI116HI03485OtherTRICARE