Provider Demographics
NPI:1003470642
Name:NICHOLAS LAPARA III MD, LLC
Entity type:Organization
Organization Name:NICHOLAS LAPARA III MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:LAPARA
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:504-491-9021
Mailing Address - Street 1:119 BLUEGRASS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-6396
Mailing Address - Country:US
Mailing Address - Phone:504-491-9021
Mailing Address - Fax:
Practice Address - Street 1:532 JEFFERSON TER
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-4948
Practice Address - Country:US
Practice Address - Phone:337-364-6923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital