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Individual
LORI LAFAYETTE
Active
Individual
LORI LAFAYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163849
RH MEDICARE
IA
01
—
233233
MIDLANDS CHOICE
IA
01
—
40889
WELLMARK BLUE CROSS BLUE
IA
Enumeration date
07/28/2006
Last updated
01/12/2016
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