Basic Information
Provider Information
NPI: 1306848502
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAPKOFF
FirstName: JAMES
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 552205
Address2:  
City: TAMPA
State: FL
PostalCode: 336550001
CountryCode: US
TelephoneNumber: 8004768646
FaxNumber: 9193823210
Practice Location
Address1: 262 LEROY GEORGE DR
Address2:  
City: CLYDE
State: NC
PostalCode: 287217430
CountryCode: US
TelephoneNumber: 8285248111
FaxNumber: 9193823210
Other Information
ProviderEnumerationDate: 06/01/2005
LastUpdateDate: 05/21/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XME53526FLN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X2005-01731NCY Allopathic & Osteopathic PhysiciansEmergency Medicine 

ID Information
IDTypeStateIssuerDescription
P0031361701NCRAILROAD MEDICAREOTHER
Q0173105SC MEDICAID
04652670005FL MEDICAID
590271305NC MEDICAID
0826101FLBCBSOTHER
141MR01NCBLUE CROSS BLUE SHIELDOTHER


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