Individual
FONDA GAY LAFRENZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3601 ODONNELL ST, BALTIMORE, MD 21224-5238
(410) 864-4493
Mailing address
201 SHAWNEE ST, HIAWATHA, KS 66434-2125
(785) 742-2396
(785) 742-2539
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
45654
KS
363LG0600X
Gerontology Nurse Practitioner
Primary
R156028
MD
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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