Individual
DONALD LAFONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 EDENWOOD DR, JACKSON, TN 38301-3432
(731) 513-3088
Mailing address
331 EDENWOOD DR, JACKSON, TN 38301-3432
(731) 513-3088
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD5107
TN
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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