Individual
REBECCA LAFAVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
721 1ST AVE S STE A, JAMESTOWN, ND 58401-4725
(701) 368-4380
(701) 540-6818
Mailing address
505 ARABIAN AVE, BISMARCK, ND 58503-8207
(701) 220-7008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R28953
ND
Other
Enumeration date
08/31/2021
Last updated
10/25/2022
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