Individual
DR. JAYAPRABHA VIJAYKUMAR LAFONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 E BRADFORD PKWY BLDG A, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5214
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2018041326
MO
2084P0804X
Child & Adolescent Psychiatry Physician
2018041326
MO
Other
Enumeration date
07/09/2013
Last updated
07/18/2025
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