Individual
LAWRENCE DICAPUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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