Provider Demographics
NPI:1811981681
Name:LAPAN, MICHAEL D (DPM)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:LAPAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 14TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:MT
Mailing Address - Zip Code:59270-3521
Mailing Address - Country:US
Mailing Address - Phone:406-488-2241
Mailing Address - Fax:406-488-2543
Practice Address - Street 1:214 14TH AVE SW
Practice Address - Street 2:SUITE#103
Practice Address - City:SIDNEY
Practice Address - State:MT
Practice Address - Zip Code:59270-3521
Practice Address - Country:US
Practice Address - Phone:406-488-2241
Practice Address - Fax:406-488-2543
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2020-11-12
Deactivation Date:2006-03-25
Deactivation Code:
Reactivation Date:2006-04-04
Provider Licenses
StateLicense IDTaxonomies
MT105213ES0103X
ND30213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0390598Medicaid
MT05581OtherBC/BS MT
ND11904OtherBC/BS ND
MT05581OtherBC/BS MT
MTT60248Medicare UPIN
MT0390598Medicaid
MT010000581Medicare PIN
ND0704080001Medicare NSC
NDT60248Medicare UPIN