Individual
IVAN LAFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9847 SW 40TH ST, MIAMI, FL 33165-3993
(305) 226-2525
Mailing address
11441 SW 5TH ST, MIAMI, FL 33174-1050
(305) 226-2525
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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