Individual
CHRISTINA LAFORCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8166
Mailing address
8280 YANKEE ST, CENTERVILLE, OH 45458-1806
(937) 436-4658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.15777
OH
363LF0000X
Family Nurse Practitioner
F0314239
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H300930
MEDICARE PTAN
OH
Enumeration date
06/05/2014
Last updated
06/03/2015
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