Provider Demographics
NPI:1336391390
Name:LAWRENCE W SCHAPPA M D P C
Entity Type:Organization
Organization Name:LAWRENCE W SCHAPPA M D P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:W
Authorized Official - Last Name:SCHAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:231-779-8100
Mailing Address - Street 1:PO BOX 963
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-0963
Mailing Address - Country:US
Mailing Address - Phone:231-775-0374
Mailing Address - Fax:231-775-0027
Practice Address - Street 1:8795 PINE RIDGE DR
Practice Address - Street 2:SUITE B
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-9777
Practice Address - Country:US
Practice Address - Phone:231-779-8100
Practice Address - Fax:231-779-8199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301051682207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty