Provider Demographics
NPI:1679159685
Name:LAPERRIERE FUNCTIONAL MEDICINE P.C.
Entity type:Organization
Organization Name:LAPERRIERE FUNCTIONAL MEDICINE P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:LAPERRIERE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-960-7784
Mailing Address - Street 1:275 CENTURY CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9453
Mailing Address - Country:US
Mailing Address - Phone:720-634-3870
Mailing Address - Fax:303-209-4645
Practice Address - Street 1:275 CENTURY CIR STE 102
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9453
Practice Address - Country:US
Practice Address - Phone:720-634-3870
Practice Address - Fax:303-209-4645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-20
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty