Individual
MS. DEBORAH L LAFORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W SENECA ST APT 16F, MANLIUS, NY 13104-2348
(315) 682-6104
Mailing address
311 W SENECA ST APT 16F, MANLIUS, NY 13104-2348
(315) 682-6104
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
238686-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02689870
—
NY
Enumeration date
05/18/2007
Last updated
07/09/2007
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