Individual
JOHN A LAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
300 NORTH BROAD, CARLINVILLE, IL 62626
(217) 854-7611
(217) 854-8120
Mailing address
300 NORTH BROAD, CARLINVILLE, IL 62626
(217) 854-7611
(217) 854-8120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006866
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046006866
—
IL
Enumeration date
09/01/2006
Last updated
07/06/2009
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