Individual
LISA LA FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 2ND STREET NW, CASS LAKE, MN 56633
(218) 335-8868
Mailing address
PO BOX 727, CASS LAKE, MN 56633-0727
(218) 335-8868
(218) 335-8147
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2457706
MN
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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