Individual
MARC K LAPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRTT
Contact information
Practice address
1188 MONTE VISTA DR, BIG BEAR CITY, CA 92314-9050
(909) 585-1339
Mailing address
PO BOX 1679, BIG BEAR CITY, CA 92314-1679
(909) 585-1339
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
102727
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01937F
—
CA
Enumeration date
07/03/2008
Last updated
07/03/2008
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