Individual
DR. JOHN DAVID DE LAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 S 6TH ST STE A, LEESVILLE, LA 71446-4442
(337) 239-8000
(337) 239-8003
Mailing address
500 S 6TH ST STE A, LEESVILLE, LA 71446-4442
(337) 239-8000
(337) 239-8003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12067R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12067R
LA STATE LICENSE
LA
05
—
1699683
—
LA
01
—
25774
CONTROL DANGER SUBSTANCE
LA
01
—
94-3311887
TAX ID #
—
Enumeration date
02/27/2006
Last updated
06/22/2012
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