Individual
MS. AUDREY LAINE LAFRAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5385 FRANKLIN BLVD STE A-D, SACRAMENTO, CA 95820-4717
(916) 452-7305
(916) 452-9753
Mailing address
721 LOOMIS CIR, FOLSOM, CA 95630-6924
(425) 256-0038
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58740
CA
Other
Enumeration date
10/19/2020
Last updated
11/11/2020
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