Individual
DR. JEANETTE LAFRENIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1807 W SLAUGHTER LN, AUSTIN, TX 78748-6230
(512) 282-8967
(512) 406-7351
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
(512) 483-9595
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
679298
TX
208000000X
Pediatrics Physician
Primary
T1427
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4269730-01
—
TX
05
—
4269730-02
—
TX
Enumeration date
04/02/2018
Last updated
11/08/2021
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