Individual
KELLI ANN LAFLEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
4940 HAMRICK RD, CENTRAL POINT, OR 97502-3072
(541) 535-6239
(541) 535-4377
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
(541) 535-4377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
084065690N1 FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024489
—
OR
Enumeration date
07/31/2006
Last updated
01/20/2020
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