Provider Demographics
NPI:1245449065
Name:LAPA, LAWRENCE H (DDS)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:H
Last Name:LAPA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2117 CROMPOND RD
Mailing Address - Street 2:SUITE 21
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-4316
Mailing Address - Country:US
Mailing Address - Phone:914-739-2626
Mailing Address - Fax:914-737-0636
Practice Address - Street 1:2117 CROMPOND RD
Practice Address - Street 2:SUITE 21
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4316
Practice Address - Country:US
Practice Address - Phone:914-739-2626
Practice Address - Fax:914-737-0636
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0385151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice