Individual
MS. LAFAYETTE TENNILLE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1515 6TH AVE S, BIRMINGHAM, AL 35233-1601
(205) 930-3265
Mailing address
1515 6TH AVE S, BIRMINGHAM, AL 35233-1601
(205) 930-3265
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-093625
AL
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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