Basic Information
| Provider Information | |||||||||
| NPI: | 1104982602 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAPP | ||||||||
| FirstName: | DIANA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1220 12TH ST SE STE 120 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200033733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027157931 | ||||||||
| FaxNumber: | 2025442714 | ||||||||
| Practice Location | |||||||||
| Address1: | 1355 NEW YORK AVE NE | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200021620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027157931 | ||||||||
| FaxNumber: | 2025488600 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/29/2006 | ||||||||
| LastUpdateDate: | 02/14/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD32962 | DC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.