Basic Information
Provider Information
NPI: 1851588552
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMILTON LAPP
FirstName: EMILY
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 400 RED CREEK DR STE 120
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146234273
CountryCode: US
TelephoneNumber: 5853345560
FaxNumber: 5853345581
Practice Location
Address1: 400 REDCREEK DRIVE
Address2: SUITE 120
City: ROCHESTER
State: NY
PostalCode: 14623
CountryCode: US
TelephoneNumber: 5853345560
FaxNumber: 5853345581
Other Information
ProviderEnumerationDate: 09/27/2007
LastUpdateDate: 03/23/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700XP61084NYN Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
363AM0700X012147NYY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


Home