Provider Demographics
NPI:1366092538
Name:LAPAGE, CATHERINE MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MARIE
Last Name:LAPAGE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ELDRIDGE
Mailing Address - State:IA
Mailing Address - Zip Code:52748-9640
Mailing Address - Country:US
Mailing Address - Phone:319-939-9055
Mailing Address - Fax:
Practice Address - Street 1:13609 110TH AVE
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52804-9033
Practice Address - Country:US
Practice Address - Phone:563-381-2010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA086701111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor