Individual
KELSEY LAFAYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3411 SPRING ST, DAVENPORT, IA 52807-2114
(800) 860-3144
Mailing address
3528 CEDARVIEW CT, BETTENDORF, IA 52722-2880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A172785
IA
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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