Provider Demographics
NPI:1669420865
Name:LAEUPPLE, DANIEL EUGENE (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EUGENE
Last Name:LAEUPPLE
Suffix:
Gender:
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:953 JEFF RD NW BLDG#2
Mailing Address - Street 2:953 JEFF RD NW BLDG#2
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806
Mailing Address - Country:US
Mailing Address - Phone:256-346-0126
Mailing Address - Fax:256-255-2148
Practice Address - Street 1:953 JEFF RD NW BLDG#2
Practice Address - Street 2:953 JEFF RD NW BLDG#2
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806
Practice Address - Country:US
Practice Address - Phone:256-346-0126
Practice Address - Fax:256-255-2148
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL236142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51535687OtherBCBS
AL51535687OtherBCBS