Individual
DR. RONALD A LAPPORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1580 N NORTHWEST HWY, SUITE 224-A, PARK RIDGE, IL 60068-1444
(847) 299-3628
(847) 236-9115
Mailing address
1580 N NORTHWEST HWY, SUITE 224-A, PARK RIDGE, IL 60068-1444
(847) 299-3628
(847) 236-9115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01619534
BCBS PROVIDER NUMBER
IL
01
—
6089-9417
AM PSYCHOLOGICAL ASSN
IL
Enumeration date
09/25/2006
Last updated
05/21/2020
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