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Individual

MICHAEL A LAPUENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2600 E 7TH ST, UNIT A, CHARLOTTE, NC 28204-4398
(704) 372-7900
(704) 376-2216
Mailing address
2600 E 7TH ST, UNIT A, CHARLOTTE, NC 28204-4398
(704) 372-7900
(704) 376-2216

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
9801693
NC
207K00000X
Allergy & Immunology Physician
D0893
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008930
SC
01
01284
BCBS
NC
05
5900536
NC
Enumeration date
06/23/2006
Last updated
02/13/2023
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