Provider Demographics
NPI:1831230028
Name:LAPIERRE, DAWN R (MPT)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:R
Last Name:LAPIERRE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24815 MAY ST
Mailing Address - Street 2:
Mailing Address - City:EDWARDSBURG
Mailing Address - State:MI
Mailing Address - Zip Code:49112-9417
Mailing Address - Country:US
Mailing Address - Phone:317-361-9107
Mailing Address - Fax:
Practice Address - Street 1:3555 PARK PL W
Practice Address - Street 2:SUITE 200
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-3586
Practice Address - Country:US
Practice Address - Phone:574-247-7000
Practice Address - Fax:574-273-1137
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05008785A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist