Individual
JACQUELYN LAFON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9801 GEORGIA AVE STE 229, SILVER SPRING, MD 20902-5276
(301) 593-7792
Mailing address
9574 LANDBREEZE ROW, COLUMBIA, MD 21045-4330
(703) 609-0007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
12/16/2024
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