Individual
JEFF LAFRENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3019 ROCKINGHAM RD, DAVENPORT, IA 52802-2065
(563) 322-7573
Mailing address
1243 W 62ND ST, DAVENPORT, IA 52806-3760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22531
IA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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