Individual
LAVEDA DEOUNTA FARRIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(912) 704-9714
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(912) 224-1316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN221986
GA
Other
Enumeration date
08/25/2015
Last updated
09/22/2020
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