Individual
JESSICA L LAFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1457 N M 52 STE 2, OWOSSO, MI 48867
(989) 729-4292
(989) 725-9012
Mailing address
1457 N M 52 STE 2, OWOSSO, MI 48867-1519
(989) 729-4292
(989) 725-9012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301097612
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437378767
—
MI
Enumeration date
04/25/2007
Last updated
02/22/2019
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