Provider Demographics
NPI:1720325665
Name:LAPP, DANIEL TEHOLT (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:TEHOLT
Last Name:LAPP
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 LAKE OCONEE PKWY
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30642-3898
Mailing Address - Country:US
Mailing Address - Phone:706-454-7150
Mailing Address - Fax:706-454-7145
Practice Address - Street 1:6320 LAKE OCONEE PKWY
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:GA
Practice Address - Zip Code:30642-3898
Practice Address - Country:US
Practice Address - Phone:706-454-7150
Practice Address - Fax:706-454-7145
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023018183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist