Individual
MR. JAVIER LORENZO TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46 L V STABLER DR, GREENVILLE, AL 36037-3865
(334) 382-9760
(334) 383-9331
Mailing address
46 L V STABLER DR, GREENVILLE, AL 36037-3865
(334) 382-9760
(334) 383-9331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00024891
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051520896
BLUE CROSS
AL
05
—
541390503
—
AL
Enumeration date
10/12/2005
Last updated
10/11/2012
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