Provider Demographics
NPI:1396966164
Name:TRAPP, LAURIE MICHELLE (MS, DC)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:MICHELLE
Last Name:TRAPP
Suffix:
Gender:F
Credentials:MS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8457 E MCDONALD DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-6334
Mailing Address - Country:US
Mailing Address - Phone:480-751-6199
Mailing Address - Fax:480-751-6197
Practice Address - Street 1:8457 E MCDONALD DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-6334
Practice Address - Country:US
Practice Address - Phone:480-751-6199
Practice Address - Fax:480-751-6197
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7572111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ103971OtherMEDICARE PTAN
AZZ103971OtherMEDICARE PTAN
AZ103972Medicare PIN