Provider Demographics
NPI:1881983088
Name:CATAPANG, LALAINE MADLANSACAY (PT)
Entity type:Individual
Prefix:MRS
First Name:LALAINE
Middle Name:MADLANSACAY
Last Name:CATAPANG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 E CHESTNUT EXPY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-2527
Mailing Address - Country:US
Mailing Address - Phone:417-865-0011
Mailing Address - Fax:417-865-0040
Practice Address - Street 1:3003 E CHESTNUT EXPY
Practice Address - Street 2:STE.150
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-2527
Practice Address - Country:US
Practice Address - Phone:417-865-0011
Practice Address - Fax:417-865-0040
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO104694174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO360172500OtherDEPT.OF LABOR