Individual
LISA LAFOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
099578
OH
2085P0229X
Pediatric Radiology Physician
Primary
50424
MN
Other
Enumeration date
08/13/2007
Last updated
04/26/2014
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