Provider Demographics
NPI:1144089608
Name:LAPUCHA, OLIVIA MARIE (DO)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:MARIE
Last Name:LAPUCHA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 DOVE TRL
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-1999
Mailing Address - Country:US
Mailing Address - Phone:719-369-3912
Mailing Address - Fax:
Practice Address - Street 1:703 DOVE TRL
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-1999
Practice Address - Country:US
Practice Address - Phone:719-369-3912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program