Dicapua, Lawrence

Dicapua, Lawrence is an individual health care provider with primary practice located at 890 W Stetson Ave Ste B Apex Radiology Medical Group, Inc., Hemet CA 92543-7311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dicapua, Lawrence can be contacted via phone (951) 766-3097.

Contact Information

Primary practice address
890 W Stetson Ave Ste B Apex Radiology Medical Group, Inc. Hemet CA 92543-7311
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A39078 California

Profile Details

NPI number 1255375879
LBN Legal business name Dicapua, Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255375879 NPPES
California MEDICAID 00A390780
California Other 00A390781
California Other 00A390783
California Other 300041756
California Other 00A390782
California Other 300044757

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