Individual
ASHLEY LAFONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
7200 VALLEY CREEK PLZ, WOODBURY, MN 55125-2265
(715) 965-5764
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11957
MN
363A00000X
Physician Assistant
3342-23
WI
Other
Enumeration date
08/04/2014
Last updated
10/05/2017
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