Individual
JEFFREY LAPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT(R), RPA/RA, CV
Contact information
Practice address
160 EXETER DR, SUITE 104, WINCHESTER, VA 22603-8614
(540) 545-4674
Mailing address
349 BENTLEY DR, INWOOD, WV 25428-3479
(304) 229-0818
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
0132000004
VA
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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