Provider Demographics
NPI:1700447109
Name:NICHOLAS LAPARA III MD, LLC
Entity Type:Organization
Organization Name:NICHOLAS LAPARA III MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAPARA
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:504-491-9021
Mailing Address - Street 1:119 BLUEGRASS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-6396
Mailing Address - Country:US
Mailing Address - Phone:504-491-9021
Mailing Address - Fax:
Practice Address - Street 1:119 BLUEGRASS CREEK RD
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592-6396
Practice Address - Country:US
Practice Address - Phone:504-491-9021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty