Individual
LAWRENCE DICAPUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 W STETSON AVE STE B, APEX RADIOLOGY MEDICAL GROUP, INC., HEMET, CA 92543-7311
(951) 766-3097
Mailing address
890 W STETSON AVE, SUITE B, HEMET, CA 92543-7311
(951) 537-6002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A39078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A390780
—
CA
01
—
00A390781
MEDICARE PTAN
CA
01
—
00A390782
MEDICARE PTAN
CA
01
—
00A390783
MEDICARE PTAN
CA
01
—
300041756
RAILROAD
CA
01
—
300044757
RAILROAD
CA
Enumeration date
06/15/2006
Last updated
02/27/2013
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