Basic Information
Provider Information
NPI: 1588789200
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAPP
FirstName: ROXANNE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: AA, RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2016 CLOUD PEAK DR
Address2: APARTMENT 1
City: WORLAND
State: WY
PostalCode: 824012543
CountryCode: US
TelephoneNumber: 3073474152
FaxNumber:  
Practice Location
Address1: 206 S 7TH ST
Address2:  
City: WORLAND
State: WY
PostalCode: 824013308
CountryCode: US
TelephoneNumber: 3073476165
FaxNumber: 3073476166
Other Information
ProviderEnumerationDate: 03/20/2007
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X22081WYY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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