Individual
ELISA DANIELLE LAFAYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
164 HIGH ST, GREENFIELD, MA 01301-2613
(413) 773-2263
(413) 773-2127
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1043
NH
363AM0700X
Medical Physician Assistant
Primary
PA100078
MA
Other
Enumeration date
09/19/2014
Last updated
01/26/2024
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