Individual
SHELBY JO LAPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
107559
IA
363A00000X
Physician Assistant
Primary
14311
MN
363AM0700X
Medical Physician Assistant
7159
WI
Other
Enumeration date
08/12/2019
Last updated
05/20/2024
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