Organization
HOLLAND FOOT AND ANKLE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT J LAPPENGA DPM (PRESIDENT)
(616) 392-7472
Entity
Organization
Contact information
Practice address
904 S WASHINGTON AVE, HOLLAND, MI 49423-7724
(616) 392-7472
(616) 392-3327
Mailing address
904 WASHINGTON AVE, HOLLAND, MI 49423-7724
(616) 392-7472
(616) 392-3327
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480Z376040
BCBS
MI
01
—
MO10933
CHAMPUS
MI
Enumeration date
12/24/2005
Last updated
05/16/2014
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