Provider Demographics
NPI:1205092319
Name:LAPKIN, MICHAEL LAURENCE (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LAURENCE
Last Name:LAPKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5830 NW 25TH TER
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2226
Mailing Address - Country:US
Mailing Address - Phone:561-997-8039
Mailing Address - Fax:
Practice Address - Street 1:19615 STATE ROAD 7
Practice Address - Street 2:SUITE 32
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-4700
Practice Address - Country:US
Practice Address - Phone:561-477-7700
Practice Address - Fax:561-477-7707
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96692208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002573700Medicaid