Provider Demographics
NPI:1235024142
Name:LAPAN, KRISTEN JENAE (PA)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:JENAE
Last Name:LAPAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49401-9401
Mailing Address - Country:US
Mailing Address - Phone:616-331-5700
Mailing Address - Fax:
Practice Address - Street 1:2200 DENDRINOS DR
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-8070
Practice Address - Country:US
Practice Address - Phone:616-331-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant